Individual
STEPHEN PAUL KAJENCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S MAIN ST, SUITE 304, MANSFIELD, MA 02048-3144
(508) 964-5560
(508) 964-5570
Mailing address
800 S MAIN ST, SUITE 304, MANSFIELD, MA 02048-3144
(508) 964-5560
(508) 964-5570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72749
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102003
UHC
—
01
—
202367
RI BLUE CHIP
—
05
—
3064565
—
MA
01
—
342
FALLON
MA
01
—
725893
TUFTS
MA
01
—
7535
HPHC
MA
01
—
B10041301
CIGNA
MA
01
—
J09823
MABC
MA
Enumeration date
08/04/2006
Last updated
06/17/2020
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