Individual
J. TODD STEINWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118
(617) 638-8609
(617) 638-7228
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110109783A
—
MA
Enumeration date
07/05/2006
Last updated
11/20/2024
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