Individual
MS. ELENA C HUISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3874
Mailing address
14 GLOUCESTER ST UNIT 2B, BOSTON, MA 02115-1731
(616) 915-0602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
11/05/2024
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