Dr. Zachary Elijah Stewart, M.D.
Radiology, Diagnostic Radiology in Boston, MA. Individual provider (NPI-1).
NPI number1457713166
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1457713166
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zachary Elijah Stewart
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2016
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 291494 | MA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 75218 | WI |
Practice location
55 Fruit StreetCny-B62
Boston, MA 02114-2696
Phone 617-724-0288
Mailing address
55 Fruit StBoston, MA 02114-2696
Other practice locations
600 Highland Ave
Madison, WI 53792-5502
Madison, WI 53792-5502
Phone 608-263-0889
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