| Stephanie Fosbenner Md | |
|
259 Mass Ave Arlington MA 02474-8406 | |
| (267) 374-6747 | |
| Not Available |
| Full Name | Stephanie Fosbenner Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 259 Mass Ave, Arlington, Massachusetts |
| Authorized Official Name and Position | Stephanie Morgan Fosbenner (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2673746747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Fosbenner Md 21 Central St Arlington MA 02476-4801 Ph: (267) 374-6747 | Stephanie Fosbenner Md 259 Mass Ave Arlington MA 02474-8406 Ph: (267) 374-6747 |
| NPI Number | 1790504876 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790504876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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