Individual
DR. STEPHANIE BETH SEMINARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BHX 505, BOSTON, MA 02114-2621
(617) 726-8433
(617) 726-5357
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8433
(617) 726-5367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155008
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
155008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3177467
—
MA
01
—
754136
TUFTS HEALTH PLAN
MA
01
—
J18760
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
11/14/2012
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