JUDITH A STEBULIS M.D. NPI 1174504229

NPI Information

NPI: 1174504229
Provider Name: JUDITH A STEBULIS, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
55 LAKE AVE N
DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA
ZIP 01655
Phone: (508) 334-5224
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Judith A Stebulis, M.D. is a rheumatology internal medicine in Worcester, MA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Judith A Stebulis, M.D. NPI is 1174504229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 LAKE AVE N
DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-5224

The enumeration date for this NPI number is 11/7/2005 and was last updated on 11/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	210249	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A36606	MEDICARE PIN	MASSACHUSETTS
2	I03733	MEDICARE UPIN	MASSACHUSETTS
3	2040760	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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