Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3675 | MA |
NPI | 1265424758 |
---|---|
Provider Name | Dr. Stephanie A Paris-Whitney |
First Address | Waltham, MA 02451-7333 |
Second Address | Waltham, MA 02451-7333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 04/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3442143 | AETNA/US HEALTHCARE (01) | |
42957 | 1199 NATIONAL BENEFIT FUN (01) | |
755280 | TUFTS (01) | |
7704123 | CIGNA (01) | |
AA8378 | HPHC (01) | |
U45637 | (02) | |
W22020 | BCBS-MA (01) | MA |