Provider Demographics
NPI:1164498457
Name:FINE, STEVEN NEIL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:NEIL
Last Name:FINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:475 FRANKLIN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6264
Mailing Address - Country:US
Mailing Address - Phone:508-620-9200
Mailing Address - Fax:508-620-6483
Practice Address - Street 1:475 FRANKLIN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6264
Practice Address - Country:US
Practice Address - Phone:508-620-9200
Practice Address - Fax:508-620-6483
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2019-01-03
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Provider Licenses
StateLicense IDTaxonomies
MA73996207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3078141Medicaid
MA3078141Medicaid