Doctor Name: | MR. STERLING BOUXMAN |
NPI Number: | 1023072246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | 252393 |
Business Practice Address: | 1 Credit Union Way Randolph, MA - 02368 |
Business Phone Number: | 7813414145 |
Business Fax Number: | |
Mailing Address: | 575 Highland St, STOUGHTON |
State: | MA |
Postal Code: | 020723842 |
Phone Number: | 7814365499 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 252393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |