Individual
DR. FREDERICK J STODDARD JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 BLOSSOM STREET, SHRINERS BURN INSTITUTE, BOSTON, MA 02114
(617) 722-3000
(617) 371-4960
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
31902
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031902
TUFTS HEALTH PLAN
MA
05
—
3144089
—
MA
01
—
B07121
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
09/11/2025
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