Individual
MRS. TARA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
54 GARDEN ST, BOSTON, MA 02114-3713
(516) 424-8065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6885
MA
Other
Enumeration date
08/25/2011
Last updated
05/15/2020
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