Provider Demographics
NPI:1427491000
Name:STEFATER, JAMES ANTHONY III (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:STEFATER
Suffix:III
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:97 LIBBEY INDUSTRIAL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:EAST WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3110
Mailing Address - Country:US
Mailing Address - Phone:781-331-3300
Mailing Address - Fax:781-337-8356
Practice Address - Street 1:97 LIBBEY INDUSTRIAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:EAST WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3110
Practice Address - Country:US
Practice Address - Phone:781-331-3300
Practice Address - Fax:781-337-8356
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2021-12-20
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Provider Licenses
StateLicense IDTaxonomies
MA270690207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110109978AMedicaid
MAS400568983OtherMEDICARE