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Individual

ELLEN MARIE GUTHRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13 BRADLEE RD, MEDFORD, MA 02155
(781) 395-1110
(781) 395-8553
Mailing address
13 BRADLEE RD, MEDFORD, MA 02155-3110
(781) 395-1110
(781) 395-8553

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60673
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3102661
MA
05
9711601
MA
Enumeration date
02/16/2006
Last updated
09/27/2011
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