Individual provider · Type 1 NPI
Krista Reis, P.A.C.
Surgical Physician Assistant · Stoneham, MA
NPI number
1770534117
Active
Practice location
92 Montvale Ave, Ste 3000
Stoneham, MA 02180-3647
Fax (781) 279-0430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1710 (MA) |
| Surgical Physician Assistant Primary | 363AS0400X | 1710 (MA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1770534117
Krista Reis, P.A.C.'s National Provider Identifier is 1770534117, issued on May 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stoneham, MA. The record was last updated on Sep 11, 2025.