STEWARD MEDICAL GROUP INC NPI 1962881078

NPI Information

STEWARD MEDICAL GROUP, INC is an ambulatory surgical clinic center in Brockton, MA. STEWARD MEDICAL GROUP, INC NPI is 1962881078. The provider is registered as an organization entity type.
The provider Other Name Is Endoscopy Center Of Southeast Mass.

The provider's business location address is:

1 PEARL ST
SUITE 1800
BROCKTON, MA
ZIP 02301-864
Phone: (508) 588-3174

The provider's authorized official is George Clairmont .
The authorized official title is President Of Smg and has the following contact phone number (617) 419-4700.

The CLIA number assigned to this NPI record is 22D2197351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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