Individual
CHRISTY D STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8084
(508) 856-4287
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
226596
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
226596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041922A
—
MA
Enumeration date
03/16/2006
Last updated
10/22/2020
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