Individual
HOLLY POITRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
1148320
MA
363A00000X
Physician Assistant
1148320
MA
363A00000X
Physician Assistant
Primary
PA6767
MA
363AM0700X
Medical Physician Assistant
1148320
MA
Other
Enumeration date
11/01/2018
Last updated
01/07/2019
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