Individual
MS. JANICE MACGILLIVRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 HAVILAND ST, BOSTON, MA 02115-2683
(617) 927-6100
(617) 247-3460
Mailing address
48 PARTRIDGE ST, WEST ROXBURY, MA 02132-3010
(617) 469-2050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1707
MA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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