Individual
DR. JULIANNE STOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 MONTVALE AVE, SUITE 3200, STONEHAM, MA 02180-3660
(781) 438-8117
(781) 438-8116
Mailing address
92 MONTVALE AVE, SUITE 3200, STONEHAM, MA 02180-3660
(781) 438-8117
(781) 438-8116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79594
MA
2086S0129X
Vascular Surgery Physician
79594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079594
TUFTS HEALTH PLAN
MA
05
—
3127745
—
MA
01
—
J30769
BCBS OF MA
MA
Enumeration date
11/18/2005
Last updated
06/25/2009
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