Individual
MR. JEFFREY SCOTT SMALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 HIGHLAND AVE, SUITE 6, SALEM, MA 01970-7003
(978) 741-4133
(978) 741-7742
Mailing address
400 HIGHLAND AVE, SUITE 6, SALEM, MA 01970-7003
(978) 741-4133
(978) 741-7742
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AP2038
MA
Other
Enumeration date
03/22/2007
Last updated
06/18/2010
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