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MISS ALLISON ROSE SUPRANOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 FRUIT ST # 2622, BOSTON, MA 02114-2696
(617) 724-4100
Mailing address
43 STRONG AVE, PITTSFIELD, MA 01201-7226
(413) 442-8541

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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