Individual provider · Type 1 NPI
Alicia Longani, PA-C
Medical Physician Assistant · Waltham, MA
NPI number
1528430337
Active
Practice location
1019 Trapelo Rd
Waltham, MA 02452-5002
Mailing address
2140 Mendon Rd
Cumberland, RI 02864-3843
Other practice locations
- 2140 Mendon Rd, Cumberland, RI 02864-3843 · (401) 642-2072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA00848 (RI) |
| Medical Physician Assistant Primary | 363AM0700X | PA6269 (MA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Waltham
About NPI 1528430337
Alicia Longani, PA-C's National Provider Identifier is 1528430337, issued on Oct 20, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waltham, MA. The record was last updated on Jan 6, 2020.