Individual
MS. DEBORAH J STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
86 BAKER AVENUE EXT, CONCORD, MA 01742-2132
(978) 287-9400
(978) 287-9408
Mailing address
86 BAKER AVENUE EXT, CONCORD, MA 01742-2132
(978) 287-9400
(978) 287-9408
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
136010
MA
Other
Enumeration date
03/24/2006
Last updated
01/09/2012
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