Individual
DR. W STEPHEN BLACK-SCHAFFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 219 PATHOLOGY ASSOCIATES, BOSTON, MA 02114-2621
(617) 724-1463
(617) 726-3226
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
207ZC0500X
Cytopathology Physician
49664
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49664
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049664
TUFTS HEALTH PLAN
MA
05
—
2091518
—
MA
01
—
J01197
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
09/11/2025
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