Individual
ANNE STACIE COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, SUITE 334 CENTER FOR CHILDREN WTH SPECIAL NEEDS, BOSTON, MA 02111-1552
(617) 636-7242
(617) 636-7242
Mailing address
800 WASHINGTON ST, CENTER FOR CHILDREN WITH SPECIAL NEEDS, BOSTON, MA 02111-1552
(617) 636-7242
(617) 636-5621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0010725
VT
208000000X
Pediatrics Physician
15974
NH
208000000X
Pediatrics Physician
Primary
254910
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010260
—
VT
Enumeration date
09/20/2005
Last updated
07/18/2014
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