Provider Demographics
NPI:1124024518
Name:STEWART, JAMES PETER (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:STEWART
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:10 LANGLEY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1972
Mailing Address - Country:US
Mailing Address - Phone:617-527-8186
Mailing Address - Fax:617-965-0820
Practice Address - Street 1:10 LANGLEY RD
Practice Address - Street 2:STE 201
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1972
Practice Address - Country:US
Practice Address - Phone:617-527-8186
Practice Address - Fax:617-965-0820
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2010-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1562213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0199810001OtherMEDICARE DME
0860818-001OtherCIGNA
MA701627OtherTUFTS
MA0000555OtherNEIGHBORHOOD HEALTH
MA382854OtherBLUE CROSS - DME
32069OtherCHILDREN'S MED SEC PLAN
MA33101OtherHARVARD PILGRIM
0093925OtherAETNA (ENVOY)
MA9721975Medicaid
MA0000555OtherNEIGHBORHOOD HEALTH
MA382854OtherBLUE CROSS - DME