Provider Demographics
NPI:1932133741
Name:TRAVERS, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:TRAVERS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:33 BARTLETT ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1334
Mailing Address - Country:US
Mailing Address - Phone:978-452-7000
Mailing Address - Fax:978-458-2828
Practice Address - Street 1:33 BARTLETT ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1334
Practice Address - Country:US
Practice Address - Phone:978-452-7000
Practice Address - Fax:978-458-2828
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-03-21
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Provider Licenses
StateLicense IDTaxonomies
MA48668207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease