Unknown Individual – Physician Assistant, NPI 1407977424
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
51 GREW HILL RD
ROSLINDALE, MA 021314910
Phone:
Type: Mailing
637 WASHINGTON ST
DORCHESTER CENTER, MA 021243510
Phone: (617) 825-9660
Fax: (617) 288-7898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Family Practice | MA | |
| Infectious Disease | MA | |
| O P T O M E T R Y | MA |
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