Individual
JOHN EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 HYDE PARK AVE, HYDE PARK, MA 02136-2713
(617) 364-9880
Mailing address
184 ELM ST APT 3, QUINCY, MA 02169-5515
(781) 475-4736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7499
MA
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
04/17/2020
Last updated
11/15/2023
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