Individual
MARY BETH GIFFUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 SPRING AVE, ARLINGTON, MA 02476-7716
(781) 777-1625
(781) 777-1624
Mailing address
39 SPRING AVE, ARLINGTON, MA 02476-7716
(781) 777-1625
(781) 777-1624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018030
—
MA
Enumeration date
05/11/2007
Last updated
07/08/2007
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