Kenneth Stillman in Northborough - Family Medicine
Kenneth Stillman - NPI 1053394726
Kenneth Stillman is a Family Medicine in Northborough, Massachusetts. Kenneth Stillman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Stillman is 1053394726. The last update date is 2011-06-07.
Kenneth Stillman's current location address is 112 Main St, Northborough, Massachusetts. You can contact this provider via phone number 5083519250. The mailing address for Kenneth Stillman is 112 Main St, Northborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Stillman |
|---|---|
| Address | 112 Main St, Northborough, Massachusetts |
| Phone Number | 5083519250 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053394726 |
|---|---|
| Provider Enumeration Date | 2005-11-27 |
| Last Updated Date | 2011-06-07 |
Provider Mailing Address Detail
| Address | 112 Main St |
|---|---|
| City | Northborough |
| State | Massachusetts (MA) |
| Post Code | 15321914 |
| Phone Number | 5083519250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 42871 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2071738 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Stillman?
The Kenneth Stillman has been issued the NPI (National Provider Identifier) 1053394726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kenneth Stillman is physically located?
The Kenneth Stillman is situated at the following address: 112 Main St, Northborough, MA 15321914.
What is Kenneth Stillman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Stillman's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053394726 to Kenneth Stillman?
The Centers for Medicare & Medicaid Services assigned the 1053394726 to Kenneth Stillman on 2005-11-27.
As of what date were the details related to Kenneth Stillman most recently updated or revised?
The information pertaining to Kenneth Stillman, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-07.
NPI Number: 1730182858
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