Individual
GENNA FRUCHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8316
MA
Other
Enumeration date
08/04/2021
Last updated
04/02/2025
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