Individual
SYDNEY WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
660 WINE RD, NEW BRAINTREE, MA 01531-1605
(978) 257-7379
Mailing address
660 WINE RD, NEW BRAINTREE, MA 01531-1605
(978) 257-7379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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