Individual
KENNETH A STAMPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 MOUNT AUBURN ST, SUITE 100, CAMBRIDGE, MA 02138-4555
(617) 492-1174
(617) 492-6807
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034754A
—
MA
05
—
2020432
—
MA
Enumeration date
02/14/2006
Last updated
12/17/2015
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