Stack, Anne M
Stack, Anne M is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Stack, Anne M can be contacted via phone (617) 355-6624.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 74040 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 74040 | Massachusetts |
Profile Details
| NPI number | 1225096605 |
|---|---|
| LBN Legal business name | Stack, Anne M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Aug 14th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225096605 | NPPES |
| Massachusetts | MEDICAID | 3089890 |
Popular Providers
-
Lewin, Sonia
55 Fruit St # 01 , Boston MA 02114-2621 -
Sherman, Mindy Meg
55 Fruit St Pediatric Emergency Services Ell01, Boston MA 02114-2696 -
Walsh, Barbara M
840 Harrison Ave Meninno 1, Boston MA 02118-2905 -
Fine, Andrew M
300 Longwood Ave Children'S Hospital Boston Emergency Medicine- Main 1, Boston MA 02115-5724 -
Schwartz, Ilan
1 Boston Medical Center Pl Child Health Foundation Of Boston , Dowling 3 South, Boston MA 02118 -
Keneck, Eileen A
840 Harrison Ave Menino 1, Boston MA 02118-2905 -
Dorfman, David H
840 Harrison Ave Menino 1, Boston MA 02118-2905 -
Horwitz, Bruce H
300 Longwood Ave , Boston MA 02115-5724