Individual
JULIA STASCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5078
Mailing address
800 WASHINGTON ST # 286, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ETLL-400
MA
Other
Enumeration date
04/14/2020
Last updated
07/08/2020
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