Individual provider · Type 1 NPI

Antoin Johnsen Deschrijver, PHYSICIAN ASSISTANT

Student in an Organized Health Care Education/Training Program · Quincy, MA

NPI number 1730527474 Active

Practice location

500 Congress St, Suite 2H
Quincy, MA 02169

Fax (617) 773-7995

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730527474

Antoin Johnsen Deschrijver, PHYSICIAN ASSISTANT's National Provider Identifier is 1730527474, issued on Jun 4, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Quincy, MA. The record was last updated on Jun 4, 2013.