Individual
SARA NICOLE STULAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVENUE, YAWKEY 4, BOSTON, MA 02118
(617) 414-4363
Mailing address
888 COMMONWEALTH AVE, 3RD FLOOR, BOSTON, MA 02215-1205
(617) 998-8922
(617) 432-5300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12857
NH
208000000X
Pediatrics Physician
Primary
248883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119302A
—
MA
Enumeration date
07/16/2010
Last updated
07/21/2022
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