Individual
MS. JILL ANN FRUSHTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-0900
(617) 247-3912
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-0900
(617) 247-3912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2544
MA
363A00000X
Physician Assistant
PA2819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290184600
—
FL
Enumeration date
09/22/2006
Last updated
04/25/2021
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