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Individual

STEPHEN M YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2 MEDICAL CENTER DR, SUITE 308, SPRINGFIELD, MA 01199-1619
(413) 794-7020
(413) 794-2670
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1902
MA
363AS0400X
Surgical Physician Assistant
2213
CT

Other

Enumeration date
10/25/2006
Last updated
08/06/2015
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