Individual provider · Type 1 NPI
Susan Lynne Debalsi, PA-C
Medical Physician Assistant · Fairhaven, MA
NPI number
1649318288
Active
Practice location
200 Mill Road, Suite 190
Fairhaven, MA 02719
Fax (508) 973-2176
Mailing address
200 Mill Rd, Suite 180
Fairhaven, MA 02719-5252
Other practice locations
- 110 Liberty St, Brockton, MA 02301-5674 · (508) 941-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1212 (MA) |
| Medical Physician Assistant | 363AM0700X | PA00663 (RI) |
| Medical Physician Assistant Primary | 363AM0700X | PA1212 (MA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Fairhaven
About NPI 1649318288
Susan Lynne Debalsi, PA-C's National Provider Identifier is 1649318288, issued on Feb 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairhaven, MA. The record was last updated on Oct 31, 2024.