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MS. ALLISON STATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
15 PARKMAN ST, MGH WAC 440, BOSTON, MA 02114-3117
(617) 726-6100
Mailing address
15 PARKMAN ST, MGH WAC 440, BOSTON, MA 02114-3117
(617) 726-6100

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2437
MA

Other

Enumeration date
11/21/2007
Last updated
06/16/2015
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