person
Dr. Stephan Wicky Van Doyer, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1588655369

Stephan Wicky Van Doyer is a Diagnostic Radiology Physician based in Boston, MA and is specialized in Diagnostic Radiology. Stephan Wicky Van Doyer practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Stephan Wicky Van Doyer is 1588655369 and holds a License No. 223840 (Massachusetts).

The current practice location address for Stephan Wicky Van Doyer is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-5774 and via fax at 774-441-8443. You can also correspond with Stephan Wicky Van Doyer through the mailing address at PO BOX 415348, BOSTON, MA - 02241-5348 (mailing address contact number: 800-225-8885).

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
person
Provider Profile Details
NPI Number
1588655369
Provider Name
Stephan Wicky Van Doyer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-5774
Fax Number
774-441-8443
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2103923 05 MA
110040985A 05 MA
J26427 01 MA BCBS OF MA
213058 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-334-5774
Fax Number
774-441-8443
person
Provider Business Mailing Address Details
Address
Po Box 415348
City
State
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
223840 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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