Provider Demographics
NPI:1043303738
Name:LOVERME, STEPHEN RUSSELL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:RUSSELL
Last Name:LOVERME
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:83 HERRICK ST
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2757
Mailing Address - Country:US
Mailing Address - Phone:978-922-2226
Mailing Address - Fax:978-922-2269
Practice Address - Street 1:83 HERRICK ST
Practice Address - Street 2:SUITE 1001
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2757
Practice Address - Country:US
Practice Address - Phone:978-922-2226
Practice Address - Fax:978-922-2269
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-07-20
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Provider Licenses
StateLicense IDTaxonomies
MA409832084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0193887Medicaid
MA503440OtherAETNA/USHC
MALOD03106OtherBCBS OF MA
MANSD055OtherHARVARD COMMUNITY HEALTH
MA040983OtherTUFTS
MA0504318OtherUNITED HEALTH CARE
MA04-2503990OtherFALLON
MA0193887Medicaid