Individual
MELISSA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
201 SYLVIA ST, ARLINGTON, MA 02476-7008
(781) 439-1250
Mailing address
55 FRUIT ST, MGH GRB 260 INTERVENTIONAL RADIOLOGY, BOSTON, MA 02114-2621
(781) 439-1250
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
PA6695
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649764978
NPI
—
Enumeration date
06/20/2018
Last updated
03/06/2019
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