Individual
TAKARA L STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, MASS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-2000
Mailing address
55 FRUIT ST, YAW6C, BOSTON, MA 02114-2621
(617) 726-2909
(617) 724-8998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228395
MA
Other
Enumeration date
05/26/2006
Last updated
08/01/2012
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