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Individual

STEPHANIE A CARLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
140 HIGH STREET, SPRINGFIELD, MA 01105-1442
(413) 794-2515
(413) 794-5673
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 202-8920

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
225126
MA
208000000X
Pediatrics Physician
Primary
OS0524091
FL

Other

Enumeration date
05/03/2006
Last updated
10/12/2018
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