Individual
MARIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 724-5742
Mailing address
212 FOXWOOD LN, MILFORD, CT 06461-2733
(203) 200-9827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001564
CT
363A00000X
Physician Assistant
PA101515
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001564
STATE LICENSE
CT
01
—
PA101515
STATE LICENSE
MA
Enumeration date
07/21/2005
Last updated
06/03/2025
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