Individual provider · Type 1 NPI

Aki Ishida

Surgical Physician Assistant · Brockton, MA

NPI number 1346861531 Active

Practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

1370 Smith St Apt 12
North Providence, RI 02911-3317

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X1346861531 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1346861531

Aki Ishida's National Provider Identifier is 1346861531, issued on Apr 29, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brockton, MA. The record was last updated on Oct 20, 2020.