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An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI # | 1003039033 |
| LBN Legal business name | MAIN ST MEDICAL USA |
| Authorized official | STEPHEN STEFANO - (DIRECTOR MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/10/2007 |
| Last updated | 09/24/2013 - About 13 years ago |
| Identifiers | n/a |
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MAIN ST MEDICAL USA
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MAIN ST MEDICAL USA