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Individual

KRISTY JURCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 FOGG RD, WEYMOUTH, MA 02190
(781) 624-8000
Mailing address
141 LONGWATER DR STE 201, NORWELL, MA 02061-1620
(781) 792-4136

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005735
VA
363A00000X
Physician Assistant
Primary
PA6589
MA

Other

Enumeration date
04/12/2017
Last updated
09/14/2018
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