Provider Demographics
NPI:1518984087
Name:TOPOLSKI, STEFAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:A
Last Name:TOPOLSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1183 MOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01370-9300
Mailing Address - Country:US
Mailing Address - Phone:413-625-6240
Mailing Address - Fax:413-625-6290
Practice Address - Street 1:1105 MOHAWK TRL
Practice Address - Street 2:
Practice Address - City:SHELBURNE FALLS
Practice Address - State:MA
Practice Address - Zip Code:01370-9609
Practice Address - Country:US
Practice Address - Phone:413-625-6240
Practice Address - Fax:413-625-6290
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA209410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA209410OtherTUFTS
MA28439OtherHEALTH NEW ENGLAND
MA5997557OtherGHI
MA711545OtherHARVARD PILGRIM
MAB105266-01OtherCIGNA
MA0144720Medicaid
MAJ23600OtherBLUECROSSBLUESHIELD
MA21614OtherBMC HEALTHNET
MA21614OtherBMC HEALTHNET
MA28439OtherHEALTH NEW ENGLAND