Individual
EMILY AXEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(857) 307-4000
(857) 307-2022
Mailing address
119 COLLEGE AVE APT 7, SOMERVILLE, MA 02144-1945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2020
Last updated
11/11/2022
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