Individual
MALLORY MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
52 COLUMBIA ST APT 2, ALBANY, NY 12207-2761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024246
NY
363A00000X
Physician Assistant
Primary
PA7078
MA
Other
Enumeration date
10/10/2019
Last updated
11/02/2022
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