Individual
PAUL S DESILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
150 S HUNTINGTON AVE RM 42, BOSTON, MA 02130-4817
(857) 364-4720
(857) 364-2033
Mailing address
150 S HUNTINGTON AVE RM 42, BOSTON, MA 02130-4817
(857) 364-4720
(857) 364-2033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1784
MA
363AS0400X
Surgical Physician Assistant
Primary
1784
MA
Other
Enumeration date
09/23/2005
Last updated
05/10/2021
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