Individual
REBECCA CHARETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 VANDENBERG DR BLDG 1900, HANSCOM AFB, MA 01731-2104
(617) 834-9540
(781) 225-2576
Mailing address
850 MAIN ST, WAKEFIELD, MA 01880-3940
(617) 834-9540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4981
MA
363AM0700X
Medical Physician Assistant
Primary
PA4981
MA
363AS0400X
Surgical Physician Assistant
PA4981
MA
Other
Enumeration date
03/20/2014
Last updated
04/10/2018
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