Provider Demographics
NPI:1073585378
Name:HILBORN, STEPHEN T (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:T
Last Name:HILBORN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:HARRINGTON PHYSICIAN SERVICES
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0040
Mailing Address - Country:US
Mailing Address - Phone:508-909-7799
Mailing Address - Fax:508-764-2432
Practice Address - Street 1:94 SOUTH ST
Practice Address - Street 2:HARRINGTON PHYSICIAN SERVICES
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-4000
Practice Address - Country:US
Practice Address - Phone:508-764-2772
Practice Address - Fax:508-764-2833
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2015-04-14
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Provider Licenses
StateLicense IDTaxonomies
MA261430208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2341586Medicaid
OH2341586Medicaid
H91371Medicare UPIN