Jody A Dugrenier in Boston - Physician Assistant
Jody A Dugrenier - NPI 1912983404
Jody A Dugrenier is a Physician Assistant in Boston, Massachusetts. Jody A Dugrenier practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jody A Dugrenier is 1912983404. The last update date is 2023-08-08.
Jody A Dugrenier's current location address is Po Box 412503, Boston, Massachusetts. You can contact this provider via phone number 6177263884. The mailing address for Jody A Dugrenier is Po Box 412503, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody A Dugrenier |
|---|---|
| Address | Po Box 412503, Boston, Massachusetts |
| Phone Number | 6177263884 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912983404 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | Po Box 412503 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22412526 |
| Phone Number | 6177263884 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 561 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00606562 | NH | MEDICARE RR | |
| 1912983404 | ME | -- | |
| 3074821 | NH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jody A Dugrenier?
The Jody A Dugrenier has been issued the NPI (National Provider Identifier) 1912983404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jody A Dugrenier's facilities are geographically located?
The facilities of Jody A Dugrenier are physically situated at the following location: Po Box 412503, Boston, MA, 22412526.
What is Jody A Dugrenier's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jody A Dugrenier is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912983404 to Jody A Dugrenier?
The Centers for Medicare & Medicaid Services originally issued the 1912983404 to Jody A Dugrenier on 2005-12-16.
As of what date were the Jody A Dugrenier's details last updated?
The information pertaining to the Jody A Dugrenier, including its address, specialty, and other details, was most recently updated on 2023-08-08.
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