Individual provider · Type 1 NPI
Jeremy Michael Gartland, PA-C
Medical Physician Assistant · Boston, MA
NPI number
1649758095
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA6682 (MA) |
| Physician Assistant | 363A00000X | PA6682 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1649758095
Jeremy Michael Gartland, PA-C's National Provider Identifier is 1649758095, issued on Jul 29, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Sep 17, 2018.