Individual
BETH BLANDFORD ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N BEACON ST, WATERTOWN, MA 02472-2751
(617) 972-7200
Mailing address
25 WYMAN ST, BURLINGTON, MA 01803-4731
(339) 234-0348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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