Unknown Individual – Physician Assistant, NPI 1093776437
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
150 S Huntington Ave, South Huntington Avenue, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130-4803, United States
JAMAICA PLAIN, MA 021304817
Phone: (857) 364-2353
Type: Location
35;37, Fernview Avenue, Stevens Crossing, North Andover, Essex County, Massachusetts, 01845, United States
NORTH ANDOVER, MA 018454466
Phone: (978) 979-0771
Type: Mailing
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02130)
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