Individual
KRISTIN SHEA POPUSOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 369-1400
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/03/2022
Last updated
10/16/2023
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