Individual provider · Type 1 NPI
Jennifer Shannon Patoulidis, PA
Medical Physician Assistant · Boston, MA
NPI number
1689976011
Active
Practice location
800 Washington St, Neurology Dept
Boston, MA 02111-1552
Mailing address
35 Kenmere Rd
Medford, MA 02155-4117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA4082 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1689976011
Jennifer Shannon Patoulidis, PA's National Provider Identifier is 1689976011, issued on Nov 17, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Aug 25, 2015.