Individual
MR. ANTOIN JOHNSEN DESCHRIJVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
500 CONGRESS ST, SUITE 2H, QUINCY, MA 02169
(617) 773-7431
(617) 773-7995
Mailing address
500 CONGRESS ST, ASSOCIATES SOUTH SHORE DERMATOLOGY SUITE 2H, QUINCY, MA 02169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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