Individual
ADA STEFANESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDCM MSC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-8052
(617) 726-8000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-8052
(617) 726-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254160
MA
207R00000X
Internal Medicine Physician
L-244803
MA
207RA0002X
Adult Congenital Heart Disease Physician
254160
MA
207RC0000X
Cardiovascular Disease Physician
254160
MA
207RI0011X
Interventional Cardiology Physician
Primary
254160
MA
Other
Enumeration date
09/03/2010
Last updated
09/20/2021
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