Individual
JADE MARIE RABAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Mailing address
36 1ST AVE, BOSTON, MA 02129-4557
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
12/27/2024
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