Dr. Stephen A. Cannistra
Medical Oncology
330 Brookline Ave Beth Israel Deaconess Medical Center
Boston
, Massachusetts 02215-5400
Dr. Stephen A. Cannistra
Medical Oncology
330 Brookline Ave Beth Israel Deaconess Medical Center
Boston
, Massachusetts 02215-5400
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Stephen A. Cannistra
- 631 Greendale Ave
- Needham, MA
- Zip : 02492-4336
- Phone :
Second Address
- Dr. Stephen A. Cannistra
- 330 Brookline Ave Beth Israel Deaconess Medical Center
- Boston, MA
- Zip : 02215-5400
- Phone : (617) 667-4283
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 49464 | MA |
National Provider Identifier
| NPI | 1174552780 |
|---|---|
| Provider Name | Dr. Stephen A. Cannistra |
| First Address | Needham, MA 02492-4336 |
| Second Address | Boston, MA 02215-5400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A66360 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.