Individual
STEPHANIE L SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-1561
(617) 726-1566
Mailing address
125 NASHUA ST STE 821, BOSTON, MA 02114-1111
(614) 722-3535
(617) 726-1561
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
35120691
OH
208000000X
Pediatrics Physician
Primary
275411
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100688
—
OH
Enumeration date
04/23/2009
Last updated
11/28/2018
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