Individual
PICH HOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 737-6161
(978) 937-6894
Mailing address
22 BEAR PATH LN, HUDSON, NH 03051-6403
(978) 737-6161
(978) 937-6894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
865
MA
Other
Enumeration date
09/15/2006
Last updated
05/01/2008
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