Individual
KATLIN JANEL FISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-1083
(617) 636-8319
Mailing address
23 INDIAN BROOK RD, ASHLAND, MA 01721-1340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6513
MA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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