Individual
JONATHAN WAYMAN PISARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
330 MOUNT AUBURN ST, DEPARTMENT OF MEDICINE, CAMBRIDGE, MA 02138-5502
(617) 492-3500
Mailing address
270 OVERLOOK RD, GLASTONBURY, CT 06033-3618
(860) 805-6427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4233
MA
Other
Enumeration date
10/29/2010
Last updated
11/18/2013
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