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Individual

PHILLIP STUBBLEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 HARRISON AVE, 11TH FLOOR, SUITE 1105, BOSTON, MA 02118-2371
(617) 638-8131
(617) 638-8040
Mailing address
85 E CONCORD ST, 6TH FLOOR, BOSTON, MA 02118-2335
(617) 414-5174
(617) 414-7300

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35488
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006642
MA
Enumeration date
11/22/2005
Last updated
08/14/2007
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