Individual
ELIZABETH HALL QUEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5378
(617) 730-2815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2476
MA
363AS0400X
Surgical Physician Assistant
Primary
003367
CT
Other
Enumeration date
02/06/2008
Last updated
09/21/2015
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