Individual
LILLIAN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2000 WASHINGTON ST, SUITE 441 WHITE BLDG, NEWTON, MA 02462-1650
(617) 964-9070
Mailing address
2000 WASHINGTON ST, SUITE 441 WHITE BLDG, NEWTON, MA 02462-1650
(617) 964-9070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA604
MA
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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