Individual
ASIMINA K MARKOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
313 SPEEN ST, NATICK, MA 01760-1538
(774) 696-7374
Mailing address
313 SPEEN ST, NATICK, MA 01760-1538
(774) 696-7374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1118128
MA
363AS0400X
Surgical Physician Assistant
1118128
MA
Other
Enumeration date
06/24/2014
Last updated
09/15/2014
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