Individual provider · Type 1 NPI
Nicolas Junior Desjardins, PA-C
Surgical Physician Assistant · Somerville, MA
NPI number
1144722372
Active
Practice location
96 Summer St Apt 1
Somerville, MA 02143-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA6469 (MA) |
| Health Educator | 174H00000X | PA6469 (MA) |
| Orthopaedic Surgery Physician | 207X00000X | PA6469 (MA) |
| Physician Assistant | 363A00000X | PA6469 (MA) |
| Prevention Professional | 405300000X | PA6469 (MA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Somerville
About NPI 1144722372
Nicolas Junior Desjardins, PA-C's National Provider Identifier is 1144722372, issued on Mar 3, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Somerville, MA. The record was last updated on Jan 22, 2021.