Individual
JESSICA VESCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(508) 463-6619
Mailing address
36 RIVER ST APT 154, WALTHAM, MA 02453-8369
(508) 463-6619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
10/16/2024
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