Individual provider · Type 1 NPI

Jordin D. Marousis, PA-C

Surgical Physician Assistant · Springfield, MA

NPI number 1154630986 Active

Practice location

2 Medical Center Dr Ste 512
Springfield, MA 01107-1273

Fax (413) 794-4212

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA7284 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1154630986

Jordin D. Marousis, PA-C's National Provider Identifier is 1154630986, issued on Sep 28, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MA. The record was last updated on Dec 10, 2021.