Individual
MARIA ALISSE VARDARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 NORWOOD ST, EVERETT, MA 02149-2709
(617) 394-7500
Mailing address
19 NORWOOD ST, EVERETT, MA 02149-2709
(617) 394-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA7151
MA
363A00000X
Physician Assistant
Primary
PA7151
MA
Other
Enumeration date
08/17/2019
Last updated
01/13/2026
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