Individual
TOSHIKO IKEMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7678
Mailing address
137 FREEMAN ST, UNIT 2A, BROOKLINE, MA 02446-3592
(617) 732-7678
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
315
MA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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