Individual
JENNY A PETITPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 MOUNT AUBURN ST DEPT OF, CAMBRIDGE, MA 02138-5502
(617) 499-5150
(617) 499-5593
Mailing address
330 MOUNT AUBURN ST DEPT OF, CAMBRIDGE, MA 02138-5502
(617) 499-5150
(617) 499-5593
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA6270
MA
Other
Enumeration date
11/07/2017
Last updated
05/17/2023
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