Individual
JENNIFER LYNN SITTAMBALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26 THOMSON PL, BOSTON, MA 02210-1212
(888) 663-6331
(415) 252-7176
Mailing address
422 EAST ST, BROCKTON, MA 02302-4134
(860) 751-4339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
02/10/2026
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