Individual
PATRICIA ZUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
1254 BOYLSTON ST, BOSTON, MA 02215-4401
(508) 283-9773
Mailing address
1254 BOYLSTON ST, BOSTON, MA 02215-4401
(508) 283-9773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020125
NY
363A00000X
Physician Assistant
Primary
PA8099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020125
NY STATE LICENSE
NY
01
—
PA8099
MA STATE LICENSE
MA
Enumeration date
10/24/2016
Last updated
08/18/2025
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