Provider Demographics
NPI:1821022427
Name:PARAZIN, STEPHEN JEROME
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JEROME
Last Name:PARAZIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 BOYLSTON ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2503
Mailing Address - Country:US
Mailing Address - Phone:617-734-2450
Mailing Address - Fax:617-734-7804
Practice Address - Street 1:830 BOYLSTON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2503
Practice Address - Country:US
Practice Address - Phone:617-734-2450
Practice Address - Fax:617-734-7804
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153373207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA793844OtherTUFTS
MAJ18978OtherBLUE CROSS BLUE SHIELD
MAA28687Medicare ID - Type Unspecified
MAJ18978OtherBLUE CROSS BLUE SHIELD