Individual
MS. KRYSTA KAYLA CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3940
Mailing address
156 PORTER ST APT 322, BOSTON, MA 02128-2140
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
PA6484
MA
363AS0400X
Surgical Physician Assistant
Primary
PA6484
MA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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