Individual
MS. MARIA BANAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
152 BARHAM AVE, APT.3, QUINCY, MA 02170-1100
(617) 501-7055
Mailing address
152 BARHAM AVE, APT.3, QUINCY, MA 02170-1100
(617) 501-7055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AP2266
MA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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