Pelton, Stephen I

Pelton, Stephen I is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Pelton, Stephen I can be contacted via phone (617) 414-4841.

Contact Information

Primary practice address
850 Harrison Ave Yacc5 Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-7230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36674 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 36674 Massachusetts

Profile Details

NPI number 1891777223
LBN Legal business name Pelton, Stephen I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 9th, 2014 - about 10 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 1891777223 NPPES
Massachusetts MEDICAID 110036486A

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