Individual
JANE BASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 S HUNTINGTON AVE, VAMC, BOSTON, MA 02130-4817
(857) 364-5961
Mailing address
9 ORIOLE AVE, PROVIDENCE, RI 02906-5525
(401) 331-2307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00275
RI
363A00000X
Physician Assistant
Primary
1427
MA
Other
Enumeration date
05/10/2006
Last updated
06/19/2014
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