Individual
MS. MARISA FIGUEIREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 S HUNTINGTON AVE, MS GI III, BOSTON, MA 02130-4817
(617) 705-5678
Mailing address
375A HARVARD ST APT 6A, CAMBRIDGE, MA 02138-4122
(617) 232-9500
(857) 364-4179
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1173
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173
PHYSICIAN ASSIST LICENSE
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
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