Sweriduk, Stephen T

Sweriduk, Stephen T is an sole proprietor health care provider with primary practice located at 265 Westgate Dr , Brockton MA 02301-1817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sweriduk, Stephen T can be contacted via phone (800) 258-4674.

Contact Information

Primary practice address
265 Westgate Dr Brockton MA 02301-1817
Fax: (508) 897-3198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 57793 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57793 Massachusetts

Profile Details

NPI number 1134126105
LBN Legal business name Sweriduk, Stephen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Dec 12th, 2017 - about 7 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 1134126105 NPPES
Massachusetts Other J06212 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 3020266 BLUE CROSS BLUE SHIELD

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