Individual
JENNIFER L SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 BROOKLINE AVE, STONEMAN 458, BOSTON, MA 02215
(617) 667-2963
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215
(617) 667-2963
(617) 667-3147
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3867
MA
Other
Enumeration date
10/15/2009
Last updated
12/06/2011
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