Individual
ELIZABETH PASSEMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114
(617) 573-3209
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6532
MA
Other
Enumeration date
06/11/2018
Last updated
01/13/2022
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