Individual
ELIZABETH HARRINGTON HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 WALNUT ST, STE 102, WELLESLEY, MA 02481
(781) 489-5546
(781) 489-5769
Mailing address
25 WALNUT ST, STE 102, WELLESLEY, MA 02481
(781) 489-5546
(781) 489-5769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
242783
MA
208000000X
Pediatrics Physician
A83403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085365
—
MA
Enumeration date
11/01/2006
Last updated
11/29/2010
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