Individual provider · Type 1 NPI
Ethan Joseph Januszewski, PA-C
Medical Physician Assistant · Bellingham, MA
NPI number
1205646825
Active
Practice location
118 Patricia Dr
Bellingham, MA 02019-1085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1230400 (MA) |
Medical Physician Assistant: Definition to come...
About NPI 1205646825
Ethan Joseph Januszewski, PA-C's National Provider Identifier is 1205646825, issued on Jan 8, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bellingham, MA. The record was last updated on Jan 8, 2025.