Gregory P Deconciliis P.A.-C

NPI 1366658502 - Physician Assistant - 363AS0400X

NPI Details
NPI 1366658502
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
840 WINTER ST.
BOSTON OUT-PATIENT SURGICAL SUITES, LLC
WALTHAM MA, 02451, US
Phone (781) 895-4908
Fax (781) 895-4902
Business Location
22 CHARLEMONT ST
NEWTON MA, 02461-1908, US
Phone (617) 233-6804
Fax (781) 207-0204
Toxanomy
Taxonomy Code 363AS0400X
License State Massachusetts
License Number 1250
Remove 1366658502 NPI Number
 

According to our database, Gregory P Deconciliis P.A.-C NPI is 1366658502, taxonomy code is 363AS0400X and license number is 1250, license state is located at Massachusetts. Gregory P Deconciliis P.A.-C physically located at 840 Winter St., Waltham MA, 02451. NPI Number Gregory P Deconciliis P.A.-C has the Individual type.

Sponsored links

1366658502 NPI number is provided on an as is basis without warranty of any kind. 1366658502 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory P Deconciliis P.A.-C are for informational purposes only.