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Physician Assistant

NPI: 1992235204IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

PA6427(MA)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA6427(MA)

CMS Specialties

Education

OTHER

Class of 2017

Contact & Hours

Via practice · 5 locations total

Address
110 FRANCIS ST STE 2A
BOSTON, MA 02215

Quick Facts

NPI
1992235204
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
5
Years in Practice
9

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