Individual
PATRICIA LAVONNE HIBBERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, STE 9B & C, SHAPIRO BLDG, BOSTON, MA 02118-2526
(617) 414-4290
(617) 414-4285
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
59965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047325A
—
MA
Enumeration date
08/31/2006
Last updated
04/10/2024
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