Provider Demographics
NPI:1053309328
Name:STEIN, ERIC H (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:H
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 MEETING HOUSE RD
Mailing Address - Street 2:STE 24
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2738
Mailing Address - Country:US
Mailing Address - Phone:978-256-5557
Mailing Address - Fax:978-256-1835
Practice Address - Street 1:3 MEETING HOUSE RD
Practice Address - Street 2:STE 24
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2738
Practice Address - Country:US
Practice Address - Phone:978-256-5557
Practice Address - Fax:978-256-1835
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2008-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA58648207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ12324OtherBCBS
MA3103463Medicaid
MA3103463Medicaid
MAJ12324OtherBCBS