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
Phone: (800) 258-4674
Fax: (508) 897-3198
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134126105 | NPPES |
| Massachusetts | Other | J06212 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 3020266 | BLUE CROSS BLUE SHIELD |
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