Individual provider · Type 1 NPI

Katherine Marie Crocker, P.A.-C

Medical Physician Assistant · Jamaica Plain, MA

NPI number 1386078137 Active

Practice location

170 Morton Street
Jamaica Plain, MA 02130

Fax (617) 971-3643

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA4959 (MA)
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1386078137

Katherine Marie Crocker, P.A.-C's National Provider Identifier is 1386078137, issued on Aug 29, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Oct 2, 2023.