Individual provider · Type 1 NPI
Paul S. Desillier, PAC
Surgical Physician Assistant · Boston, MA
NPI number
1013903152
Active
Practice location
150 S Huntington Ave Rm 42
Boston, MA 02130-4817
Fax (857) 364-2033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1784 (MA) |
| Surgical Physician Assistant Primary | 363AS0400X | 1784 (MA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1013903152
Paul S. Desillier, PAC's National Provider Identifier is 1013903152, issued on Sep 23, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on May 10, 2021.