National Provider Identifier
Stephen Diefenderfer
Stephen Diefenderfer is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 726-2000.
Source: public NPPES record, last updated July 09, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1497488704
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 05, 2022
- Last Updated
- July 09, 2024
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (617) 726-2000
Mailing Address
- 588 Longmeadow St
- Longmeadow, MA 01106-2212
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
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Biography
Stephen Diefenderfer, PA-C, is a hospital medicine physician assistant at Massachusetts General Hospital. His professional profile lists PA training at Bay Path University from 2022 to 2024, followed by his role with Mass General in Boston.
Full Record
- NPI
- 1497488704
- Entity Type
- Individual
- Last Name
- Diefenderfer
- First Name
- Stephen
- Mailing Street Address
- 588 Longmeadow St
- Mailing City
- Longmeadow
- Mailing State
- MA
- Mailing ZIP Code
- 01106-2212
- Mailing Country
- US
- Mailing Phone
- (413) 565-1000
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 726-2000
- Enumeration Date
- July 05, 2022
- Last Updated
- July 09, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 09, 2024
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)