Individual
DR. J PHILIP KISTLER
Active
Individual
DR. J PHILIP KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38279
MA
2084N0400X
Neurology Physician
38279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038279
TUFTS HEALTH PLAN
MA
05
—
2066858
—
MA
01
—
M08997
BCBS MA
MA
Enumeration date
11/17/2005
Last updated
07/13/2026
Update your record
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