Individual
LISA BLAKE HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6660
Mailing address
226 JAMAICAWAY, JAMAICA PLAIN, MA 02130-1726
(917) 568-4987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
225624
MA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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