Individual
ELISSA JORDAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA8434
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/30/2024
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