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Contact Information

ROSTISLAVA KANYUK STOUPNITSKA, MD
138 HAVERHILL STREET
ANDOVER, MA01810
 Phone: 978-296-2302
 Fax: 978-296-2304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ROSTISLAVA KANYUK STOUPNITSKA · (Female)

NPI # 1477614196
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 01/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 38662
  • MA License # 233627
  • MA Medicaid 2142171
  • NH Medicaid 30207632
  • Other J42642 BCBS
  • Other 1477614196 BMC
  • Other 8961939 CIGNA
  • Other 129960 FALLON
  • Other AA97507 HPHC
  • Other 95855401 NETWORK HEALTH
  • Other 41844 NHP
  • Other 459069 TUFTS
  • Other 1477614196 UHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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