Provider Demographics
NPI:1952482879
Name:STELLA, CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:STELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MFM SPECIALISTS OF BOCA RATON
Mailing Address - Street 2:7100 W CAMINO REAL STE 301
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33443
Mailing Address - Country:US
Mailing Address - Phone:561-948-0039
Mailing Address - Fax:561-948-5720
Practice Address - Street 1:5 PERRYRIDGE RD
Practice Address - Street 2:GREENWICH HOSPITAL PERINATOLOGY PC
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-863-3674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040509207VM0101X
FLME148396207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2565031Medicaid
OHST4156331Medicare ID - Type Unspecified
OH2565031Medicaid