Individual provider · Type 1 NPI
Mary Ellen Kistler, PA-C
Medical Physician Assistant · Stoneham, MA
NPI number
1154638260
Active
Practice location
1 Montvale Ave, Ste 502
Stoneham, MA 02180-3559
Fax (617) 573-5646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1545 (SC) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Stoneham
About NPI 1154638260
Mary Ellen Kistler, PA-C's National Provider Identifier is 1154638260, issued on Sep 10, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stoneham, MA. The record was last updated on Jan 2, 2014.