Individual
STEPHANIE S ECCLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
4 BIRCH RD, WILMINGTON, MA 01887-2676
(781) 953-5611
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2165
MA
Other
Enumeration date
08/23/2006
Last updated
11/29/2017
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