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Individual

AMBER GIESMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(781) 338-0500
Mailing address
195 CANAL ST, MALDEN, MA 02148-6701

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110121990
MASSHEALTH
MA
Enumeration date
07/25/2016
Last updated
11/08/2018
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