Individual
MARK THOMAS KESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
44 MANNING ST, MEDFORD, MA 02155-4422
(602) 315-0423
Mailing address
44 MANNING ST, MEDFORD, MA 02155-4422
(602) 315-0423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6008
MA
Other
Enumeration date
10/30/2016
Last updated
01/31/2017
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