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Individual

DR. STEPHEN J SWEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 WASON AVE, SUITE 200, SPRINGFIELD, MA 01107-1119
(413) 733-9666
(413) 750-3432
Mailing address
PO BOX 70266, SPRINGFIELD, MA 01107-1577
(413) 788-6530
(413) 750-8027

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
035747
CT
207RN0300X
Nephrology Physician
Primary
38000
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003057346
CT
05
1001987
VT
05
2055767
MA
Enumeration date
11/02/2005
Last updated
03/05/2014
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