Kelley Scanlon Piechowicz in Boston - Physician Assistant
Kelley Scanlon Piechowicz - NPI 1306812623
Kelley Scanlon Piechowicz is a Physician Assistant in Boston, Massachusetts. Kelley Scanlon Piechowicz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelley Scanlon Piechowicz is 1306812623. The last update date is 2010-09-02.
Kelley Scanlon Piechowicz's current location address is Po Box 415933, Boston, Massachusetts. You can contact this provider via phone number 8605457602. The mailing address for Kelley Scanlon Piechowicz is Po Box 415933, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Scanlon Piechowicz |
|---|---|
| Address | Po Box 415933, Boston, Massachusetts |
| Phone Number | 8605457602 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306812623 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2010-09-02 |
Provider Mailing Address Detail
| Address | Po Box 415933 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22415933 |
| Phone Number | 8605457602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1563 |
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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 |
|---|---|---|---|
| 15630 | CT | CONNECTICARE |
Post Comment/ Review Below
Could you provide the complete address where Kelley Scanlon Piechowicz is physically located?
The Kelley Scanlon Piechowicz is situated at the following address: Po Box 415933, Boston, MA 22415933.
What is Kelley Scanlon Piechowicz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelley Scanlon Piechowicz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1306812623 assigned to Kelley Scanlon Piechowicz?
The Kelley Scanlon Piechowicz was issued its 1306812623 on 2006-02-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Kelley Scanlon Piechowicz receive the assignment of its 1306812623 from the Centers for Medicare & Medicaid Services?
The Kelley Scanlon Piechowicz was issued its 1306812623 by the Centers for Medicare & Medicaid Services on 2006-02-27.
When was the information regarding Kelley Scanlon Piechowicz most recently updated?
The details pertaining to the Kelley Scanlon Piechowicz, including its address, specialty, and other relevant information, were last refreshed on 2010-09-02.