Antoin Johnsen Deschrijver PHYSICIAN ASSISTANT

NPI 1730527474 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1730527474
Gender Male
Enumeration Date 06/04/2013
Last Updated 06/04/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
500 CONGRESS ST
SUITE 2H
QUINCY MA, 02169, US
Phone (617) 773-7431
Fax (617) 773-7995
Business Location
500 CONGRESS ST
ASSOCIATES SOUTH SHORE DERMATOLOGY SUITE 2H
QUINCY MA, 02169, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Antoin Johnsen Deschrijver PHYSICIAN ASSISTANT NPI is 1730527474, taxonomy code is 390200000X Antoin Johnsen Deschrijver PHYSICIAN ASSISTANT physically located at 500 Congress St, Quincy MA, 02169. NPI Number Antoin Johnsen Deschrijver PHYSICIAN ASSISTANT has the Individual type.

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1730527474 NPI number is provided on an as is basis without warranty of any kind. 1730527474 is maintained by the National Plan & Provider Enumeration System. The contents of Antoin Johnsen Deschrijver PHYSICIAN ASSISTANT are for informational purposes only.