Individual
SUBHANA BEGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 DUDLEY ST, MEDFORD, MA 02155-4007
(757) 806-8353
Mailing address
25 DUDLEY ST, MEDFORD, MA 02155-4007
(757) 806-8353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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