Stuart, Keith
Stuart, Keith is an individual health care provider with primary practice located at 330 Brookline Ave Shapiro 913D, Boston MA 02215-5400. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Stuart, Keith can be contacted via phone (617) 667-9235.Contact Information
Primary practice address
330 Brookline Ave Shapiro 913D
Boston MA 02215-5400
Phone: (617) 667-9235
Fax: (617) 975-5665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 60230 | Massachusetts |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 60230 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 80230 | Massachusetts |
Profile Details
| NPI number | 1205867108 |
|---|---|
| LBN Legal business name | Stuart, Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 2nd, 2021 - about 5 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 | 1205867108 | NPPES |
| Massachusetts | MEDICAID | 3076661 |
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