Individual
JUSTIN LORENZ GOMEZ-STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
330 LONGWOOD AVE, BOSTON, MA 02115-5746
(617) 355-6000
Mailing address
130 FISHER AVE APT 2, BOSTON, MA 02120-3520
(203) 843-4301
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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