# MYSTICK WOMEN'S HEALTH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255422630
- **Authorized official:** DR. ELLEN MARIE GUTHRIE MD (PRESIDENT)
- **Authorized official phone:** (781) 395-1110

## Contact information

- **Practice address:** 13 BRADLEE RD, MEDFORD, MA 02155-3110
- **Practice address phone:** (781) 395-1110
- **Practice address fax:** (781) 395-8553
- **Mailing address:** 13 BRADLEE RD, MEDFORD, MA 02155-3110
- **Mailing address phone:** (781) 395-1110
- **Mailing address fax:** (781) 395-8553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 60673 | MA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 12/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9711601 | — | MA |