Provider Demographics
NPI:1538332135
Name:STEPHENSON, ROBERT PHILIP (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PHILIP
Last Name:STEPHENSON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:736 CAMBRIDGE ST
Mailing Address - Street 2:CMP-2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2907
Mailing Address - Country:US
Mailing Address - Phone:617-789-9000
Mailing Address - Fax:617-254-6384
Practice Address - Street 1:736 CAMBRIDGE STREET
Practice Address - Street 2:CMP-2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-789-9000
Practice Address - Fax:617-254-6384
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2011-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA226381207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology