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Individual

MISS AMY ELIZABETH ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
110 FRANCIS ST, SUITE 8E, BOSTON, MA 02215-5501
(617) 632-1056
(617) 632-1065
Mailing address
110 FRANCIS ST, SUITE 8E, BOSTON, MA 02215-5501
(617) 632-1056
(617) 632-1065

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1730
MA

Other

Enumeration date
09/27/2006
Last updated
04/14/2011
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