Individual
STEPHEN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6470
Mailing address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6470
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
77308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121666
—
MA
Enumeration date
03/29/2006
Last updated
07/08/2007
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