| Boston Specialists - Stewards Network Llc | |
|
65 Harrison Ave Ste 201 Boston MA 02111-1924 | |
| (734) 846-4910 | |
| Not Available |
| Full Name | Boston Specialists - Stewards Network Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 Harrison Ave Ste 201, Boston, Massachusetts |
| Authorized Official Name and Position | John Leung (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7348464910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Specialists - Stewards Network Llc 1 Nassau St Unit 1906 Boston MA 02111-1587 Ph: (617) 804-6767 | Boston Specialists - Stewards Network Llc 65 Harrison Ave Ste 201 Boston MA 02111-1924 Ph: (734) 846-4910 |
| NPI Number | 1376201038 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 8921490350 |
|---|---|
| Medicare Enrollment ID | O20220117000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376201038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John Leung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447328711 PECOS PAC ID: 3779585468 Enrollment ID: I20100727000640 |
| Provider Name | Ivan Lee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255719597 PECOS PAC ID: 5092136473 Enrollment ID: I20211105000547 |
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