Individual
MRS. MARY RAMSEY STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3000
Mailing address
73 HASKELL ST, BEVERLY, MA 01915-2184
(978) 973-7175
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4542
MA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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