Individual provider · Type 1 NPI

Jillian Rose Keating

Medical Physician Assistant · Boston, MA

NPI number 1194344978 Active

Practice location

800 Washington Street, Tufts Mc Box #306
Boston, MA 02111

Mailing address

16 Morgan Way
Latham, NY 12110-5522

Other practice locations

  • 16 Morgan Way, Latham, NY 12110-5522 · (518) 209-3124

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1194344978

Jillian Rose Keating's National Provider Identifier is 1194344978, issued on Apr 13, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Nov 25, 2022.