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Individual

ABBY CANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
585 LEBANON ST, EMERGENCY DEPARTMENT, MELROSE, MA 02176-3225
(781) 979-3300
Mailing address
PO BOX 415257, BOSTON, MA 02241-5257
(781) 280-1500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4269
MA

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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