Individual
STACEY F HAUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
19 ROCK HILL RD, WOODBRIDGE, CT 06525-1103
(203) 927-3362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111869
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
10974
CT
Other
Enumeration date
07/20/2021
Last updated
12/09/2024
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