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Individual

ELIZABETH ENCARNACION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
725 ALBANY ST, SUITE 3B, SHAPIRO BLDG., BOSTON, MA 02118
(617) 414-8052
(617) 638-8053
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
(617) 414-5405
(617) 414-6031

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101687
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110222328A
MA
Enumeration date
05/07/2025
Last updated
09/03/2025
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