Stoddard, Frederick J
Stoddard, Frederick J is an individual health care provider with primary practice located at 51 Blossom Street Shriners Burn Institute, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Stoddard, Frederick J can be contacted via phone (617) 722-3000.Contact Information
Primary practice address
51 Blossom Street Shriners Burn Institute
Boston MA 02114
Phone: (617) 722-3000
Fax: (617) 371-4960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31902 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 31902 | Massachusetts |
Profile Details
| NPI number | 1437130614 |
|---|---|
| LBN Legal business name | Stoddard, Frederick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1437130614 | NPPES |
| Massachusetts | Other | 031902 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3144089 | TUFTS HEALTH PLAN |
| Massachusetts | Other | B07121 | TUFTS HEALTH PLAN |
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