Individual
MS. MAUREEN W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
Mailing address
166 LAKE SHORE DR, WEYMOUTH, MA 02189-1537
(781) 331-5543
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
255
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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