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Individual

DR. STEPHEN A HEACOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 RECOVERY RD, WAREHAM, MA 02571-5011
(508) 273-1980
(508) 295-9467
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52343
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110042618A
MA
Enumeration date
01/20/2006
Last updated
02/17/2016
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