Individual
MS. SAMANTHA L ELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1435 CAMBRIDGE STREET, CAMBRIDGE, MA 02139-1047
(617) 665-1430
Mailing address
339 BOYLSTON STREET, BOSTON, MA 02116
(857) 416-9218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4712
MA
Other
Enumeration date
05/31/2013
Last updated
11/28/2025
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