Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 271737 | MA |
N | 111NI0900X | Internist | 271737 | MA |
Y | 207R00000X | Internist | 282047 | MA |
Y | 111NI0900X | Internist | 282047 | MA |
NPI | 1003345034 |
---|---|
Provider Name | Stephanie Lin-Beckford |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2017 |
Last Update Date | 20/02/2020 |