Individual
JAIRO MATTHEW AMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
203 SYCAMORE ST UNIT 2, WATERTOWN, MA 02472-1058
(908) 642-0176
Mailing address
203 SYCAMORE ST UNIT 2, WATERTOWN, MA 02472-1058
(908) 642-0176
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
PA7925
MA
363A00000X
Physician Assistant
2811
NH
Other
Enumeration date
04/22/2020
Last updated
06/11/2024
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