Individual
VICTORIA JEAN GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
24 DONNATELLA LN, NESCONSET, NY 11767-1706
(631) 838-9434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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