Defossez, Steven

Defossez, Steven is an individual health care provider with primary practice located at 85 Herrick Street Radiology Department, Beverly MA 01915-1790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Defossez, Steven can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick Street Radiology Department Beverly MA 01915-1790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 060585 Massachusetts

Profile Details

NPI number 1952397408
LBN Legal business name Defossez, Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952397408 NPPES
Massachusetts MEDICAID 3065243

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