Provider Demographics
NPI:1992763387
Name:STANKIEWICZ, JAMES M (MD)
Entity type:Individual
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First Name:JAMES
Middle Name:M
Last Name:STANKIEWICZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BROOKLINE PL
Mailing Address - Street 2:SUITE 225
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7224
Mailing Address - Country:US
Mailing Address - Phone:617-525-6550
Mailing Address - Fax:617-525-6554
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:SUITE 225
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:617-525-6550
Practice Address - Fax:617-525-6554
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2008-11-14
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Provider Licenses
StateLicense IDTaxonomies
MA2270282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology