Provider Demographics
NPI:1942564059
Name:STASON, WILLIAM BURROWES (MAOM)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BURROWES
Last Name:STASON
Suffix:
Gender:M
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SILVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-3404
Mailing Address - Country:US
Mailing Address - Phone:781-259-8599
Mailing Address - Fax:
Practice Address - Street 1:8 SILVER HILL RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-3404
Practice Address - Country:US
Practice Address - Phone:781-259-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist