Individual
RAIELLE ANDRA NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 ALBANY ST STE 4B, BOSTON, MA 02118-3549
(617) 638-5633
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118
MA
Other
Enumeration date
04/05/2022
Last updated
05/08/2024
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