Individual
JOSHUA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, LOWER LEVEL SUITE A, BOSTON, MA 02118-2526
(617) 638-6827
(617) 638-6284
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5998
MA
Other
Enumeration date
09/20/2016
Last updated
01/12/2017
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