Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101257415 | VA |
N | 207L00000X | Anesthesiologist | 275400 | NY |
NPI | 1003049842 |
---|---|
Provider Name | Stephen G. Flynn |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2009 |
Last Update Date | 17/06/2019 |