Individual
STANISLAVA PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 WASHINGTON ST FL 2, WELLESLEY HILLS, MA 02481-1929
(781) 263-9110
(781) 263-9125
Mailing address
30 WASHINGTON ST FL 2, WELLESLEY HILLS, MA 02481-1929
(781) 263-9110
(781) 263-9125
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
221753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085062
—
MA
Enumeration date
10/28/2005
Last updated
04/09/2025
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