SOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT
Medical Practice at Pond St, Braintree, MA

License number
Massachusetts 158723
Category
Medical Practice
Type
Specialist
Owner
Name: DR. STEPHEN KOELBEL MD
Title: OWNER
Phone: (781) 231-7026
Address
Address 2
250 Pond St, Braintree, MA 02184
PO Box 2190, Peabody, MA 01960
National Provider ID: 1275782435
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH SHORE PHYSIATRY AND SPASTICITY MANAGEMENT LLC

250 Pond St, Braintree, MA 02184

Industry:
Management Services
Registration:
May 27, 2008
State ID:
261799583
Business type:
Domestic Limited Liability Company (LLC)
Medical Doctor, Owner, Principals:
Stephen F. Koelbel M.d (Manager), 250 Pond St, Braintree, MA 02184 (Physical),Stephen F. Koelbel (Medical Doctor, Owner, Principal)
Agent:
Stephen F. Koelbel, M.d,250 Pond St, Braintree, MA 02184 (Physical)

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