Individual
MELISSA SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
330 BROOKLINE AVE, DEPT OF DERMATOLOGY, BOSTON, MA 02215-5400
(617) 754-0350
(617) 754-0375
Mailing address
330 BROOKLINE AVE, DEPT OF DERMATOLOGY, BOSTON, MA 02215-5400
(617) 754-0350
(617) 754-0375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0701
NH
363A00000X
Physician Assistant
Primary
2612
MA
Other
Enumeration date
03/03/2009
Last updated
12/02/2011
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