Provider Demographics
NPI:1851451025
Name:MCGARRY, STEPHEN JOSEPH (CRNA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:JOSEPH
Last Name:MCGARRY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 TIMOTHY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379
Mailing Address - Country:US
Mailing Address - Phone:508-588-0807
Mailing Address - Fax:508-583-8815
Practice Address - Street 1:333 ELM ST
Practice Address - Street 2:DEDHAM CATARACT AND LASER CENTER
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026
Practice Address - Country:US
Practice Address - Phone:781-326-3800
Practice Address - Fax:781-326-2120
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MANA103805367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered