Individual
JOSHUA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 WORCESTER ST STE 1, SPRINGFIELD, MA 01151-1056
(413) 304-2501
(413) 789-0290
Mailing address
819 WORCESTER ST STE 1, SPRINGFIELD, MA 01151-1056
(413) 304-2501
(413) 789-0290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA8112
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/17/2019
Last updated
07/29/2021
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