Jessica Tina Peroni in Dorchester - Physician Assistant
Jessica Tina Peroni - NPI 1114090859
Jessica Tina Peroni is a Physician Assistant in Dorchester, Massachusetts. Jessica Tina Peroni practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Tina Peroni is 1114090859. The last update date is 2007-07-08.
Jessica Tina Peroni's current location address is 415 Columbia Rd, Dorchester, Massachusetts. You can contact this provider via phone number 6172878000. The mailing address for Jessica Tina Peroni is 415 Columbia Rd, Dorchester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Tina Peroni |
|---|---|
| Address | 415 Columbia Rd, Dorchester, Massachusetts |
| Phone Number | 6172878000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1114090859 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 415 Columbia Rd |
|---|---|
| City | Dorchester |
| State | Massachusetts (MA) |
| Post Code | 21252424 |
| Phone Number | 6172878000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1504 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Jessica Tina Peroni by the Centers for Medicare & Medicaid Services?
The Jessica Tina Peroni has been assigned the NPI (National Provider Identifier) 1114090859. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jessica Tina Peroni is physically located?
The Jessica Tina Peroni is situated at the following address: 415 Columbia Rd, Dorchester, MA 21252424.
What is Jessica Tina Peroni's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Tina Peroni is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Jessica Tina Peroni receive the assignment of its 1114090859 from the Centers for Medicare & Medicaid Services?
The Jessica Tina Peroni was issued its 1114090859 by the Centers for Medicare & Medicaid Services on 2006-11-17.
When was the information regarding Jessica Tina Peroni most recently updated?
The details pertaining to the Jessica Tina Peroni, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.