Individual
STEPHANIE UDAWATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, HOSPITAL MEDICINE, WEST SPAN 201, BOSTON, MA 02215
(617) 754-4677
Mailing address
330 BROOKLINE AVE, WEST SPAN 201, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1019502
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2021
Last updated
06/19/2024
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