Individual
MR. SEAN KEVIN PIECHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(401) 741-1884
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AT00163
RI
363A00000X
Physician Assistant
PA00486
RI
363A00000X
Physician Assistant
Primary
PA3777
MA
363AS0400X
Surgical Physician Assistant
013021
NY
Other
Enumeration date
04/20/2006
Last updated
04/18/2025
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