Healthcare Provider Details

I. General information

NPI: 1942076492
Provider Name (Legal Business Name): AMPERSEX.VA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOSTON PL
BOSTON MA
02108-4407
US

IV. Provider business mailing address

1 BOSTON PL
BOSTON MA
02108-4407
US

V. Phone/Fax

Practice location:
  • Phone: 617-958-5697
  • Fax:
Mailing address:
  • Phone: 617-958-5697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE STEINLE
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 415-225-2075