Stephen Diefenderfer
Physician Assistant in Boston, Massachusetts
1497488704- Practice location
- 55 Fruit St, Boston, MA 02114-2621
- Phone
- 617-726-2000
- Fax
- —
- Last updated
- July 9, 2024
Stephen Diefenderfer is a Physician Assistant based in Boston, MA. Stephen Diefenderfer practices in Boston, MA. The NPI Number for Stephen Diefenderfer is 1497488704. The current practice location address for Stephen Diefenderfer is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-2000.
Provider Profile Details
- NPI Number
- 1497488704
- Provider Name
- Stephen Diefenderfer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fruit St, Boston, MA 02114-2621
- Phone Number
- 617-726-2000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2022
- Last Update Date
- July 9, 2024
- Certification Date
- July 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Boston, MA 02114-2621 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2621
- Phone Number
- 617-726-2000
Provider Business Mailing Address Details
- Address
- 588 Longmeadow St
Longmeadow, MA 01106-2212 - City
- Longmeadow
- State
- MA
- Zip
- 01106-2212
- Phone Number
- 413-565-1000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephen Diefenderfer?
The NPI number of Stephen Diefenderfer is 1497488704. It was assigned on July 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Stephen Diefenderfer?
Stephen Diefenderfer is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Stephen Diefenderfer practice?
The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497488704 directly on the NPPES registry website.