Individual
KERI SUSAN BOUTHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)CT
Contact information
Practice address
9 STEVENS ST, STONEHAM, MA 02180-1806
(781) 521-5584
Mailing address
9 STEVENS ST, STONEHAM, MA 02180-1806
(781) 521-5584
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
287843
MA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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