Individual
INGO H STUBBE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(617) 591-4920
Mailing address
45 HUNNEWELL ST, WELLESLEY, MA 02481-5411
(781) 237-5077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79710
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3134105
—
MA
Enumeration date
05/20/2006
Last updated
07/08/2007
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