Individual
STACY BETH FICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 CLARENDON ST, UNIT 104, BOSTON, MA 02116-6137
(973) 495-9324
Mailing address
2 CLARENDON ST, UNIT 104, BOSTON, MA 02116-6137
(973) 495-9324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5056
MA
Other
Enumeration date
06/25/2014
Last updated
08/24/2015
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