Provider Demographics
NPI:1013121581
Name:LONGWOOD HAND
Entity Type:Organization
Organization Name:LONGWOOD HAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:R
Authorized Official - Last Name:STIRRAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-5561
Mailing Address - Street 1:830 BOYLSTON ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2503
Mailing Address - Country:US
Mailing Address - Phone:617-232-5561
Mailing Address - Fax:
Practice Address - Street 1:830 BOYLSTON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2503
Practice Address - Country:US
Practice Address - Phone:617-232-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA54737Medicare UPIN
MAE05427Medicare ID - Type UnspecifiedID