Provider Demographics
NPI:1144542762
Name:JURASCHEK, STEPHEN PAUL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:PAUL
Last Name:JURASCHEK
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:BIDMC-GENERAL MEDICINE RESEARCH
Mailing Address - Street 2:330 BROOKLINE AVE, CO-1309, #211
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-754-1416
Mailing Address - Fax:617-754-1440
Practice Address - Street 1:BIDMC-HEALTHCARE ASSOCIATES
Practice Address - Street 2:330 BROOKLINE AVE, E/SHAPIRO 6
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-754-9600
Practice Address - Fax:617-667-8665
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MA271475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine