Provider Demographics
NPI:1104815398
Name:BUCHANAN, STEPHEN S (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:S
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-811-7528
Practice Address - Street 1:571 UNION AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5855
Practice Address - Country:US
Practice Address - Phone:508-626-3655
Practice Address - Fax:508-370-0229
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2023-10-25
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Provider Licenses
StateLicense IDTaxonomies
MA216529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2011581Medicaid
H89960Medicare UPIN
MA2011581Medicaid