Individual
DR. REBECCA C STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-4169
(617) 573-3152
Mailing address
243 CHARLES ST., BOSTON, MA 02114
(617) 573-3526
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22751
MA
207W00000X
Ophthalmology Physician
Primary
238654
MA
Other
Enumeration date
12/21/2006
Last updated
05/06/2009
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