Individual
CARLOS E GIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA6380
MA
363A00000X
Physician Assistant
Primary
PA6380
MA
Other
Enumeration date
11/28/2017
Last updated
06/27/2020
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