| Doctor Name: | JOHN S STEVENSON |
| NPI Number: | 1457388696 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 223949 |
| Business Practice Address: | 162 Main St Northborough, MA - 015321930 |
| Business Phone Number: | 5083931307 |
| Business Fax Number: | |
| Mailing Address: | 162 Main St, NORTHBOROUGH |
| State: | MA |
| Postal Code: | 015321930 |
| Phone Number: | 5083931307 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 04/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084S0010X |
| License Number: | 223949 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Sports Medicine |
| Taxonomy Definition: | A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries. |