| Gary L. Stanton, Md Pc | |
|
131 Ornac John Cummings Bld. Concord MA 01742 | |
| (508) 772-5954 | |
| Not Available |
| Full Name | Gary L. Stanton, Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 131 Ornac John Cummings Bld., Concord, Massachusetts |
| Authorized Official Name and Position | Gary Stanton (PRESIDENT) |
| Authorized Official Contact | 8009270002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Stanton, Md Pc Po Box 9132 Brookline MA 02446-9132 Ph: (800) 927-0002 | Gary L. Stanton, Md Pc 131 Ornac John Cummings Bld. Concord MA 01742 Ph: (508) 772-5954 |
| NPI Number | 1144207564 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 09/10/2008 |
| Medicare PECOS PAC ID | 1759479108 |
|---|---|
| Medicare Enrollment ID | O20071119000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144207564 | NPI | - | NPPES |
| 9754598 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Massachusetts) | Primary |
| Provider Name | Gary L Stanton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598749939 PECOS PAC ID: 5294782017 Enrollment ID: I20050405000067 |
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