Provider Demographics
NPI:1588683999
Name:STEDMAN, GEORGE HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HERBERT
Last Name:STEDMAN
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 1:17 OLD GREAT RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1265
Mailing Address - Country:US
Mailing Address - Phone:978-486-0241
Mailing Address - Fax:
Practice Address - Street 1:375 LONGWOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5395
Practice Address - Country:US
Practice Address - Phone:617-754-2347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53232207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine