Healthcare Provider Details

I. General information

NPI: 1518984087
Provider Name (Legal Business Name): STEFAN A. TOPOLSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 MOHAWK TRL
SHELBURNE FALLS MA
01370-9609
US

IV. Provider business mailing address

1183 MOHAWK TRL
SHELBURNE FALLS MA
01370-9300
US

V. Phone/Fax

Practice location:
  • Phone: 413-625-6240
  • Fax: 413-625-6290
Mailing address:
  • Phone: 413-625-6240
  • Fax: 413-625-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209410
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: