Individual
MRS. ALISSA BOLOGNA SICILIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 ALBANY ST, SHAPIRO 3, SUITE B, BOSTON, MA 02118-2526
(617) 638-8485
(617) 414-7372
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2318
MA
Other
Enumeration date
05/03/2007
Last updated
04/24/2024
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