Individual
MS. HILDA ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 479-1746
Mailing address
355 WAVERLEY OAKS RD STE 100, WALTHAM, MA 02452-8480
(781) 314-7600
(781) 314-7666
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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