Dr. Anne M Stack
MD | Pediatric Emergency Medicine | Female
Dr. Anne M Stack, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Anne M Stack is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at
617-355-6624.
Dr. Anne M Stack is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Anne M Stack is
1225096605 which was assigned by NPPES on 03 May, 2006 and it was last updated on 14 Aug, 2007.
Dr. Anne M Stack license number is
74040 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Dr. Anne M Stack has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Anne M Stack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Anne M Stack |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Anne M Stack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6624 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225096605 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 May, 2006 |
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| Last Updated On : | 14 Aug, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anne M Stack are as mentioned. Primary taxonomy code for Dr. Anne M Stack, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 74040 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 74040 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Anne M Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3089890 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6624 |
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Business Location:
Patients can refer following map for directions to
Dr. Anne M Stack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.