Individual
SUELA OMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 STATE ST STE 5, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST STE 5, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100477
MA
Other
Enumeration date
03/08/2023
Last updated
05/29/2026
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