Individual
DONNA ANN STAMPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P. M.S.
Contact information
Practice address
40 SECOND AVE, WALTHAM, MA 02451
(781) 487-3860
(781) 487-3870
Mailing address
55 FRUIT ST, BOSTON, MA 02114
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
152711
MA
Other
Enumeration date
11/14/2006
Last updated
02/05/2010
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