Provider Demographics
NPI:1649364738
Name:ENGEL, STACY P (MD)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:P
Last Name:ENGEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:55 FRUIT ST.
Mailing Address - Street 2:YAWKEY 4B, MGH WOMEN'S HEALTH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:617-724-6700
Mailing Address - Fax:617-724-6725
Practice Address - Street 1:55 FRUIT ST.
Practice Address - Street 2:YAWKEY 4B, MGH WOMEN'S HEALTH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-724-6700
Practice Address - Fax:617-724-6725
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-08-02
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Provider Licenses
StateLicense IDTaxonomies
MA154119207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine