Individual
RUNDA JENBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
179 LONGWOOD AVE, BOSTON, MA 02115-5804
(401) 499-9767
Mailing address
304 ARCADE AVE, SEEKONK, MA 02771-5006
(401) 499-9767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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