Stadecker, Miguel J

Stadecker, Miguel J is an individual health care provider with primary practice located at 750 Washington St Nemc Box 836, Boston MA 02111-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Stadecker, Miguel J can be contacted via phone (617) 636-5000.

Contact Information

Primary practice address
750 Washington St Nemc Box 836 Boston MA 02111-1526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 38055 Massachusetts

Profile Details

NPI number 1730281296
LBN Legal business name Stadecker, Miguel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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