Female

Stacey L. Valentine M.D.

Pediatric Critical Care Medicine Physician in Worcester, MA(View on Map)

Full Name

Stacey L Valentine M.D.

NPI Number

1770508400

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/13/2006

Specialties

(Taxonomies)

Code

2080P0203X
208000000X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts

License Number

229040

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 415348
55 LAKE AVE N

City

Boston
Worcester

State

MA
MA

Postal Code

02241-5348
01655-0002

Country

US
US

Telephone Number

(800) 225-8885
(774) 442-2164

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

svalentine23913@UmassMemorial.direct-ci.com
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

55 Lake Ave NWorcester, MA016550002US
55 Lake Ave NWorcester, MA016550002US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/09/2020

Provider Address

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Megan Mcburnie M.D.

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Stefanie Gauguet MD, PHD

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David Tiber M.D.

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Yuka-marie Vinagre M.D.

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Muhammad Bakr Ghbeis MD

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Scot Bateman M.D.

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Female

Catherine Naber MD

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