Individual
STEVEN KENNER FESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55231
MA
2084A2900X
Neurocritical Care Physician
Primary
55231
MA
2084N0400X
Neurology Physician
55231
MA
2084V0102X
Vascular Neurology Physician
55231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052667A
—
MA
Enumeration date
04/28/2006
Last updated
10/21/2025
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