Tubridy, Stephen Patrick

Tubridy, Stephen Patrick is an individual health care provider with primary practice located at 1244 Boylston St Suite 101, Chestnut Hill MA 02467-2116. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Tubridy, Stephen Patrick can be contacted via phone (617) 232-1752.

Contact Information

Primary practice address
1244 Boylston St Suite 101 Chestnut Hill MA 02467-2116
Phone: (617) 232-1752
Fax: (617) 566-1919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1906 Massachusetts

Profile Details

NPI number 1104840974
LBN Legal business name Tubridy, Stephen Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104840974 NPPES
Massachusetts MEDICAID 0362948

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