Individual
STEPHANIE OHNEMUS MEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
175 NORTH BEACON STREET, WATERTOWN, MA 02472
(617) 972-7200
Mailing address
125 PETERBOROUGH ST APT 6, BOSTON, MA 02215-4216
(763) 360-4267
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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