Individual
JOANNA VAN DOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1 SCOBEE CIR STE 3, PLYMOUTH, MA 02360-4887
(508) 747-0711
Mailing address
1 SCOBEE CIR STE 3, PLYMOUTH, MA 02360-4887
(508) 747-0711
(508) 746-9265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00877
RI
363A00000X
Physician Assistant
Primary
PA5711
MA
Other
Enumeration date
06/09/2016
Last updated
10/09/2024
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