Individual
LAURA NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, SHAPIRO 3 STE A, BOSTON, MA 02118
(617) 414-4861
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9111636
FL
363A00000X
Physician Assistant
Primary
PA6888
MA
Other
Enumeration date
01/14/2019
Last updated
07/12/2019
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