Individual
DR. STEPHANIE LYNN VAN COLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-7136
Mailing address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-7136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
239457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083150A
—
MA
Enumeration date
06/06/2008
Last updated
01/28/2020
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