Individual
JACQUELINE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
15 ROCHE BROS WAY STE 200, NORTH EASTON, MA 02356-1000
(781) 344-3535
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA101655
MA
Other
Enumeration date
04/04/2025
Last updated
04/22/2025
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