Portnoy, Stanislava
Portnoy, Stanislava is an individual health care provider with primary practice located at 761 Worcester Rd 4Th Floor, Framingham MA 01701-5224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Portnoy, Stanislava can be contacted via phone (508) 872-1107.Contact Information
Primary practice address
761 Worcester Rd 4Th Floor
Framingham MA 01701-5224
Phone: (508) 872-1107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 221753 | Massachusetts |
Profile Details
| NPI number | 1922098003 |
|---|---|
| LBN Legal business name | Portnoy, Stanislava |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | May 12th, 2011 - about 13 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 | 1922098003 | NPPES |
| Massachusetts | MEDICAID | 2085062 |
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