Individual
STEPHANIE G MACAUSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 PROSPECT ST, DEPARTMENT OF RADIATION ONCOLOGY, MILFORD, MA 01757-3026
(508) 488-3800
(508) 488-3800
Mailing address
20 PROSPECT ST, DEPARTMENT OF RADIATION ONCOLOGY, MILFORD, MA 01757-3026
(508) 488-3800
(508) 488-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
212902
MA
2085R0001X
Radiation Oncology Physician
MD11843
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3600729
UNITED HEALTHCARE
RI
01
—
4804-8
BLUE CROSS BLUE SHIELD
RI
05
—
7057906
—
RI
01
—
AA38707
HARVARD PILGRIM
RI
Enumeration date
04/17/2006
Last updated
07/09/2013
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