DR. Somava S Stout, M.D.

NPI #1831146612 in Revere, Massachusetts

Provider Information

NPI Number
1831146612
Entity Type
Individual
Name
DR. Somava S Stout, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
May 27, 2006
Last Updated
Dec 19, 2012

Practice Location

Address
454 BROADWAY
Address 2
SUITE 101
City
Revere
ZIP Code
02151-3034
Phone
(781) 485-8000

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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