Individual
ELIZABETH EW TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1251
MA
Other
Enumeration date
07/12/2005
Last updated
01/22/2010
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