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Individual

BRUCE A STELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TROWBRIDGE ROAD, SUITE 100, BOURNE, MA 02532
(508) 743-0314
(508) 759-2478
Mailing address
25 COMMUNICATIONS WAY, MACC - REVENUE CYCLE, HYANNIS, MA 02601-1866
(508) 957-8664
(508) 957-8677

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052714
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J07376
BCBS
MA
Enumeration date
03/08/2006
Last updated
05/03/2010
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