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Individual

MS. HILDA ESCOBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2393
MA
363AS0400X
Surgical Physician Assistant
Primary
PA2393
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005005
MEDICARE PTAN
MA
Enumeration date
10/12/2007
Last updated
09/22/2023
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