Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 53641 | MA |
NPI | 1316119209 |
---|---|
Provider Name | Stephen B Dowton |
First Address | Canton, MA 02021-1020 |
Second Address | Roxbury Crossing, MA 02120-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 31/03/2008 |