Provider Demographics
NPI:1003037300
Name:BRAND, STEPHEN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:JAMES
Last Name:BRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ELECTRONICS AVE 201
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1099
Mailing Address - Country:US
Mailing Address - Phone:978-750-0300
Mailing Address - Fax:978-279-1324
Practice Address - Street 1:3 ELECTRONICS AVE 201
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1099
Practice Address - Country:US
Practice Address - Phone:978-750-0300
Practice Address - Fax:978-279-1324
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72529174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist