Individual provider · Type 1 NPI

Mary Rebecca Heaton, PAC

Medical Physician Assistant · Jamaica Plain, MA

NPI number 1902956931 Active

Practice location

170 Morton St, Lemuel Shattuck Hospital
Jamaica Plain, MA 02130-3735

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X334 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1902956931

Mary Rebecca Heaton, PAC's National Provider Identifier is 1902956931, issued on Jan 11, 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 Jan 7, 2016.