Individual
DR. GEORGE JOHN STABLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, BOSTON, MA 02111-1526
(617) 636-5078
Mailing address
525 HIGHLAND AVE, APARTMENT 14, MALDEN, MA 02148-3662
(724) 331-3680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25820663
DRIVER'S LISENCE
MA
Enumeration date
08/09/2007
Last updated
08/09/2007
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