Provider Demographics
NPI:1942815022
Name:STEPHEN J. HOENIG, MD, PC
Entity Type:Organization
Organization Name:STEPHEN J. HOENIG, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:KOONTZ
Authorized Official - Last Name:CUDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-254-0001
Mailing Address - Street 1:114 MERRIAM AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3175
Mailing Address - Country:US
Mailing Address - Phone:978-534-3399
Mailing Address - Fax:978-537-4929
Practice Address - Street 1:114 MERRIAM AVE STE 101
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3175
Practice Address - Country:US
Practice Address - Phone:978-534-3399
Practice Address - Fax:978-534-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty