Individual
SPENCER MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
475 WASHINGTON ST, NEWTON, MA 02458-1450
(617) 823-5154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0563P
NH
363A00000X
Physician Assistant
Primary
1575
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337599
—
NH
Enumeration date
01/23/2007
Last updated
05/20/2014
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