Provider Demographics
NPI:1467638874
Name:STJERNFELDT, KRISTINA K (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:K
Last Name:STJERNFELDT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:482 BEDFORD ST
Mailing Address - Street 2:BETH ISRAEL DEACONESS HEALTHCARE, LEXINGTON
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1402
Mailing Address - Country:US
Mailing Address - Phone:781-672-2250
Mailing Address - Fax:781-672-2259
Practice Address - Street 1:482 BEDFORD ST
Practice Address - Street 2:BETH ISRAEL DEACONESS HEALTHCARE, LEXINGTON
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1402
Practice Address - Country:US
Practice Address - Phone:781-672-2250
Practice Address - Fax:781-672-2259
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2011-04-12
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Provider Licenses
StateLicense IDTaxonomies
MA216717207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2007410Medicaid
MA2007410Medicaid
MAH85094Medicare UPIN