Individual
STEPHANIE J VAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1200
(781) 744-8085
Mailing address
PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2340
ME
363A00000X
Physician Assistant
Primary
PA938
MA
363AM0700X
Medical Physician Assistant
938
MA
Other
Enumeration date
03/29/2006
Last updated
11/17/2023
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