Individual
ALLISON THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3874
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(253) 670-2629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101095
MA
Other
Enumeration date
08/18/2023
Last updated
11/21/2024
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