Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefen Andrianus, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1952928541

Stefen Andrianus, MD is a Pathology in Boston, Massachusetts. Qualified in 2017, 9 years ago. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 643-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 1023589 (MA)

Record details

NPI number1952928541
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address85 Seaport Blvd Unit 416, Boston, MA 02210-2153

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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