Individual
SAMANTHA MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-2000
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019077
NY
363A00000X
Physician Assistant
Primary
PA7416
MA
Other
Enumeration date
12/01/2015
Last updated
09/06/2023
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