Individual
VICTORIA B. CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, STE 3B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8485
(617) 414-7372
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
(336) 676-2551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100586
MA
Other
Enumeration date
11/23/2021
Last updated
04/19/2024
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