Individual
STEPHAN D. VOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8377
Mailing address
20 BLUEBERRY LN, LEXINGTON, MA 02420-2402
(781) 674-1440
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
150773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136701
—
MA
01
—
J23891
BCBS
MA
Enumeration date
06/28/2006
Last updated
07/08/2007
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