Individual
JACK SARKISIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(330) 245-6979
Mailing address
827 E BROADWAY APT C, BOSTON, MA 02127-2393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100320
MA
Other
Enumeration date
04/24/2023
Last updated
03/22/2024
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