Individual
SAMANTHA ANN NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7202
Mailing address
577 HAMMOND ST, # 2, CHESTNUT HILL, MA 02467-1703
(413) 374-4821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA52174
CA
363AS0400X
Surgical Physician Assistant
PA2547
MA
Other
Enumeration date
04/06/2009
Last updated
11/18/2021
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