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NPI Code Detail

MEDICARE: STEPHAN D. VOSS M.D., PH.D.

MEDICARE: STEPHAN D. VOSS M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085P0229XPediatric Radiology Physician150773MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2J23891OTHERMABCBS

General Provider Information

NPI Number : 1164450383
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHAN D. VOSS M.D., PH.D.
Provider Business Mailing Address
First Line : 20 BLUEBERRY LN
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-2402
Country : US
Telephone Number : 781-674-1440
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-8377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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