Individual
ALYSSA ODOARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
133 BROOKLINE AVE, ADULT URGENT CARE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-6084
Mailing address
147 MILK ST, PROVIDER ENROLLMENT , 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1685
MA
363AM0700X
Medical Physician Assistant
1685
MA
Other
Enumeration date
04/11/2006
Last updated
04/24/2009
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