Individual
MACKENZIE TATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 ALBANY ST STE 4B, BOSTON, MA 02118-3549
(617) 638-5633
(617) 414-5226
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9164
MA
Other
Enumeration date
11/08/2022
Last updated
02/19/2026
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