DR. John Ewing Stively III, JOHN STIVELY

NPI #1396779781 in Fairhaven, Massachusetts

Provider Information

NPI Number: 1396779781
Entity Type: Individual
Name: DR. John Ewing Stively III, JOHN STIVELY
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: JOHN STIVELY
Enumeration Date: Jul 10, 2006
Last Updated: Sep 3, 2014

Practice Location

Address: 200 MILL RD
City: Fairhaven
State: Massachusetts
ZIP Code: 02719-5252
Phone: (508) 999-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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