Individual
MS. MELISSA MARIE VIDEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 LONGWOOD AVE, DEPARTMENT OF OTOLARYNGOLOGY, BOSTON, MA 02115-5711
(617) 355-6369
(617) 730-0320
Mailing address
333 LONGWOOD AVE, DEPARTMENT OF OTOLARYNGOLOGY, BOSTON, MA 02115-5711
(617) 355-6369
(617) 730-0320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
013132
NY
363AM0700X
Medical Physician Assistant
Primary
PA3774
MA
Other
Enumeration date
02/25/2009
Last updated
07/21/2009
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