Individual
EMILY ANNE PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 NEWPORT RD APT 3, CAMBRIDGE, MA 02140-1589
(781) 820-5181
Mailing address
5 NEWPORT RD APT 3, CAMBRIDGE, MA 02140-1589
(781) 820-5181
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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