Ip, Stanley

Ip, Stanley is an individual health care provider with primary practice located at 750 Washington St Nemc #63, Boston MA 02111-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ip, Stanley can be contacted via phone (617) 636-5241.

Contact Information

Primary practice address
750 Washington St Nemc #63 Boston MA 02111-1526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55519 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G47881 California

Profile Details

NPI number 1659594448
LBN Legal business name Ip, Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659594448 NPPES
Massachusetts MEDICAID 3082440

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