Individual
MRS. MARY ELIZABETH SAMBORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8882
(617) 975-0919
Mailing address
112 S WALNUT ST, QUINCY, MA 02169-6827
(617) 732-8882
(617) 975-0919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2187
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2187
STATE LICENSE NUMBER
MA
Enumeration date
09/28/2006
Last updated
07/08/2007
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