Individual
MS. ELIZABETH J ERICKSON
Active
Individual
MS. ELIZABETH J ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126881
FALLON
MA
01
—
400006
CONNECTICARE, INC.
MA
Enumeration date
03/09/2006
Last updated
06/17/2008
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