Individual
IRINI E MARADIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 RIVERSIDE AVE STE 2, MEDFORD, MA 02155-4600
(781) 306-0200
Mailing address
75 RIVERSIDE AVE STE 2, MEDFORD, MA 02155-4600
(781) 306-0200
(781) 306-0264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
12/18/2023
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