Provider Demographics
NPI:1619982493
Name:STUOPIS, CECILIA WARPINSKI (MD)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:WARPINSKI
Last Name:STUOPIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MASSACHUSETTS AVE # E23-431
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4307
Mailing Address - Country:US
Mailing Address - Phone:617-253-4481
Mailing Address - Fax:617-258-0884
Practice Address - Street 1:77 MASSACHUSETTS AVE # E23-431
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4307
Practice Address - Country:US
Practice Address - Phone:617-253-4481
Practice Address - Fax:617-258-0884
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-3629-S207V00000X
NH10973207V00000X
MA265450207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201353Medicaid
NH30201353Medicaid
NHNX0461Medicare PIN