Provider Demographics
NPI:1306882410
Name:BIRD, STEPHANIE COLDWELL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:COLDWELL
Last Name:BIRD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:850 BOYLSTON ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2477
Mailing Address - Country:US
Mailing Address - Phone:617-732-9300
Mailing Address - Fax:617-732-9458
Practice Address - Street 1:850 BOYLSTON ST
Practice Address - Street 2:SUITE 402
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2477
Practice Address - Country:US
Practice Address - Phone:617-732-9300
Practice Address - Fax:617-732-9458
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-07-16
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Provider Licenses
StateLicense IDTaxonomies
MA56846207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology