Individual
CRAIG USHKURNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 825-4972
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 825-4972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211765
—
MA
Enumeration date
03/24/2006
Last updated
07/20/2009
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