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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA6469 (MA)
Health Educator 174H00000XPA6469 (MA)
Orthopaedic Surgery Physician 207X00000XPA6469 (MA)
Physician Assistant 363A00000XPA6469 (MA)
Prevention Professional 405300000XPA6469 (MA)

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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.