Provider Demographics
NPI:1699237081
Name:ST PETER, STEVEN LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LYNN
Last Name:ST PETER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 UNION PARK APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3702
Mailing Address - Country:US
Mailing Address - Phone:617-818-3304
Mailing Address - Fax:
Practice Address - Street 1:43 UNION PARK APT 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3702
Practice Address - Country:US
Practice Address - Phone:617-818-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine