Organization
ESSEX VITREO RETINAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLAIM G STINSON MD (PRESIDENT)
(978) 922-1390
Entity
Organization
Contact information
Practice address
150 YORK ST, NE SINAI HOSPITAL AND REHAB CENTER, STOUGHTON, MA 02072
(617) 364-4850
(617) 364-4851
Mailing address
100 CUMMINGS CTR, SUITE 109G, BEVERLY, MA 01915-6115
(978) 922-1390
(978) 922-1443
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
73674
MA
Other
Enumeration date
05/28/2009
Last updated
05/18/2010
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