Provider Demographics
NPI:1124347448
Name:STEPHEN, CHRISTOPHER DAVID (MD, MRCP (UK))
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:STEPHEN
Suffix:
Gender:M
Credentials:MD, MRCP (UK)
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-724-6510
Mailing Address - Fax:617-726-2019
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-6510
Practice Address - Fax:617-726-2019
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2016-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2582922084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology