Individual
CONSTANCE S HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BADER 3, BOSTON, MA 02115-5724
(617) 355-6457
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6457
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75392
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
75392
MA
208000000X
Pediatrics Physician
75392
MA
2080P0203X
Pediatric Critical Care Medicine Physician
75392
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107353
—
MA
Enumeration date
03/10/2006
Last updated
08/20/2007
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