Individual
LINDA A. PANISZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY ST, SUITE 9A, SHAPIRO BLDG, BOSTON, MA 02118-3549
(617) 638-6100
(617) 638-6179
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287964
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
287964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110198228A
—
MA
05
—
3142537
—
NH
Enumeration date
03/21/2018
Last updated
04/11/2024
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