Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 23929 | MA |
NPI | 1194711614 |
---|---|
Provider Name | Stanley James Adelstein |
First Address | Boston, MA 02115-5701 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 09/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02329 | TUFTS HEALTH CARE (01) | MA |
2036142 | (05) | MA |
B75585 | (02) | MA |
B75585BWHT | HARVARD PILGRIM HEALTH CA (01) | MA |
M07554 | BLUE CROSS/BLUE SHIELD (01) | MA |