Individual
DR. JEANNINE STANWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 TREMONT ST, DUXBURY, MA 02332-5310
(781) 934-0172
Mailing address
20 TREMONT ST, DUXBURY, MA 02332-5310
(781) 934-0172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
220537
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040425
—
MA
Enumeration date
12/11/2006
Last updated
04/02/2008
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