Individual
KATIE SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FRUIT ST, WHITE 1, BOSTON, MA 02114-2621
(617) 724-4100
(617) 726-7415
Mailing address
111 ARLINGTON AVE, PROVIDENCE, RI 02906-3211
(401) 419-4764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5358
MA
Other
Enumeration date
04/16/2015
Last updated
12/04/2015
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