Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 40983 | MA |
NPI | 1043303738 |
---|---|
Provider Name | Dr. Stephen Russell Loverme JR. |
First Address | Beverly, MA 01915-2757 |
Second Address | Beverly, MA 01915-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 20/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0193887 | (05) | MA |
040983 | TUFTS (01) | MA |
04-2503990 | FALLON (01) | MA |
0504318 | UNITED HEALTH CARE (01) | MA |
503440 | AETNA/USHC (01) | MA |
B76373 | (02) | MA |
LOD03106 | BCBS OF MA (01) | MA |
NSD055 | HARVARD COMMUNITY HEALTH (01) | MA |