Organization
JULIANNE STOUGHTON, MD
Active
Other names
Vein Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA M BANDA (PRACTICE ADMINISTRATOR)
(781) 438-8117
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE STE 3200, STONEHAM, MA 02180-3660
(781) 438-8117
(781) 438-8116
Mailing address
92 MONTVALE AVE STE 3200, STONEHAM, MA 02180-3660
(781) 438-8117
(781) 438-8116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79594
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9726772
—
MA
01
—
M18105
BCBS OF MA
MA
Enumeration date
01/06/2010
Last updated
01/06/2010
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