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Individual

BLAKELY ANN PLASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
235 CYPRESS ST, BROOKLINE, MA 02445-6776
(617) 383-6250
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3927
MA

Other

Enumeration date
01/11/2010
Last updated
11/11/2015
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