Stampfer, Kenneth A

Stampfer, Kenneth A is an individual health care provider with primary practice located at 625 Mount Auburn St Suite 100, Cambridge MA 02138-4555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stampfer, Kenneth A can be contacted via phone (617) 492-1174.

Contact Information

Primary practice address
625 Mount Auburn St Suite 100 Cambridge MA 02138-4555
Phone: (617) 492-1174
Fax: (617) 492-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31739 Massachusetts

Profile Details

NPI number 1134193501
LBN Legal business name Stampfer, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 17th, 2015 - about 11 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 1134193501 NPPES
Massachusetts MEDICAID 2020432
Massachusetts MEDICAID 110034754A

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