Individual
JILL C PATRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 CENTER ST, 200 CENTER STREET, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Mailing address
200 CENTER ST, 200 CENTER STREET, LUDLOW, MA 01056-2772
(413) 589-7176
(413) 589-7710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4124
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA4124
PHYSICIAN ASSISTANT LICENSE
MA
Enumeration date
02/09/2011
Last updated
02/09/2011
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