Individual
AMANDA MEISTER GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PEARL ST, SUITE 2000, BROCKTON, MA 02301-2864
(617) 638-8413
(617) 638-8607
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5172
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110109790A
—
MA
Enumeration date
11/14/2014
Last updated
03/11/2025
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