Individual
MIGUEL V VALDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS PAC
Contact information
Practice address
198 MASSACHUSETTS AVE, STE 103, N ANDOVER, MA 01845-4143
(978) 685-7550
(978) 686-5565
Mailing address
198 MASSACHUSETTS AVE, STE 103, N ANDOVER, MA 01845-4143
(978) 685-7550
(978) 686-5565
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1339
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1339
MA LICENSE
—
Enumeration date
08/09/2005
Last updated
03/07/2023
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