Individual
STEPHANIE G. TATOIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 FRENCH ST, WATERTOWN, MA 02472-2346
(857) 919-7251
Mailing address
27 FRENCH ST, WATERTOWN, MA 02472-2346
(857) 919-7251
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
273596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110177174A
—
MA
Enumeration date
04/30/2009
Last updated
11/08/2024
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