Paul S Desillier PAC

NPI 1013903152 - Physician Assistant - 363A00000X

NPI Details
NPI 1013903152
Gender Male
Enumeration Date 09/23/2005
Last Updated 11/18/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
300 MOUNT AUBURN ST
SUITE 505
CAMBRIDGE MA, 02138-5600, US
Phone (617) 491-6766
Fax
Business Location
300 MOUNT AUBURN ST
SUITE 505
CAMBRIDGE MA, 02138-5600, US
Phone (617) 491-6766
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 1784
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According to our database, Paul S Desillier PAC NPI is 1013903152, taxonomy code is 363A00000X and license number is 1784, license state is located at Massachusetts. Paul S Desillier PAC physically located at 300 Mount Auburn St, Cambridge MA, 02138-5600. NPI Number Paul S Desillier PAC has the Individual type.

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1013903152 NPI number is provided on an as is basis without warranty of any kind. 1013903152 is maintained by the National Plan & Provider Enumeration System. The contents of Paul S Desillier PAC are for informational purposes only.