Organization
STEPHANIE FOSBENNER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MORGAN FOSBENNER MD (MEDICAL DIRECTOR)
(267) 374-6747
Entity
Organization
Contact information
Practice address
259 MASS AVE, ARLINGTON, MA 02474-8406
(267) 374-6747
Mailing address
21 CENTRAL ST, ARLINGTON, MA 02476-4801
(267) 374-6747
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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