Provider Demographics
NPI:1598784514
Name:WRIGHT, STACY VEITCH (MD)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:VEITCH
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:83 HERRICK ST
Mailing Address - Street 2:SUITE 2004
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2757
Mailing Address - Country:US
Mailing Address - Phone:978-927-4800
Mailing Address - Fax:978-232-5772
Practice Address - Street 1:83 HERRICK ST
Practice Address - Street 2:SUITE 2004
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2757
Practice Address - Country:US
Practice Address - Phone:978-927-4800
Practice Address - Fax:978-232-5772
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2018-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA206122207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0101966Medicaid
MA0101966Medicaid
H17107Medicare UPIN