Individual
MICHAEL LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-9253
Mailing address
1275 YORK AVE, 8TH FLOOR, C BUILDING, NEW YORK, NY 10065-6007
(516) 313-3270
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
01/11/2023
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