Individual
MR. JEREMY MICHAEL GARTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 870-8859
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 870-8859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA6682
MA
363AM0700X
Medical Physician Assistant
Primary
PA6682
MA
Other
Enumeration date
07/29/2018
Last updated
09/17/2018
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