Provider Demographics
NPI:1902018526
Name:HONIGSBERG-STEINER, NAOMI (MD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:HONIGSBERG-STEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:HONIGSBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:720 HARRISON AVE
Mailing Address - Street 2:DOB 503
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2371
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:850 HARRISON AVE
Practice Address - Street 2:YACC 5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4001
Practice Address - Country:US
Practice Address - Phone:617-414-4841
Practice Address - Fax:617-414-2208
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA819242080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA7550OtherHPHC
MAJ31911OtherHMO BLUE
MA0031276OtherNHP
MA110057166AMedicaid
MA3336308OtherCIGNA
MASMSOtherSMS
MA3395920OtherAETNA USHC
MA468623OtherTAHP
MA7500960OtherUHC
MAJ31911OtherBS
MA3395920OtherAETNA USHC
MAAA7550OtherHPHC