License holder summary

Stephen Takeo Nishiyama is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Stephen Takeo Nishiyama is 40 Second Avenue, #400, Waltham 02451. This licensed professional license is current. The license was granted 06/14/1995 and expired on 12/17/2017.

Massachusetts

Division of Professional Licensure

Stephen Takeo Nishiyama
Board Of Registration In Medicine
License number
81412
Date granted
06/14/1995
Date expires
12/17/2017
Class
Board Of Registration In Medicine
Status
Active
Address
40 Second Avenue, #400
licensingma.org
ID 41461871
LAST UPDATED 2026-04-25 01:20:05 UTC

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