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Contact Information

LARS STANGENBERG, MD
2 DUDLEY ST
SUITE 470
PROVIDENCE, RI02905-3236
 Phone: 401-553-8318
 Fax: 401-868-2307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LARS STANGENBERG · (Male)

NPI Number 1003077090
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2008
Last updated 02/09/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 254554
  • MA License # L-236269
  • RI License # MD15584
Hospital affiliation(s)
  • BETH ISRAEL DEACONESS MEDICAL CENTER - (Acute Care)
    330 BROOKLINE AVENUE
    BOSTON, MA 02215
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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