Individual provider · Type 1 NPI

Virginia McCullough, PA

Medical Physician Assistant · Jamaica Plain, MA

NPI number 1811039662 Active

Practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X512 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1811039662

Virginia McCullough, PA's National Provider Identifier is 1811039662, issued on Feb 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.