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Contact Information

JACQUELYN B STEVENS, MD
452 PLEASANT ST
OFFICE OF MICHAEL S. WIEDMAN, M.D.
MALDEN, MA02148
 Phone: 781-322-3224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACQUELYN B STEVENS · (Female)

NPI # 1275664658
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 158811
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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