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NPI Code Detail

MEDICARE: JULIA HUSSEY PA-C

MEDICARE:   JULIA  HUSSEY  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA7025MA
2363A00000XPhysician AssistantPA1679ME

General Provider Information

NPI Number : 1952842965
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA HUSSEY PA-C
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-319-8308
Provider Business Practice Location Address
First Line : 193 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2607
Country : US
Telephone Number : 207-424-2272
Fax Number : 207-424-2268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2017
Last Update Date : 11/15/2023

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Directions to “ JULIA HUSSEY PA-C” Practice Location

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