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NPI Code Detail

MEDICARE: ELIZABETH A RANSOM PA

MEDICARE:   ELIZABETH A RANSOM  PA
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 AssistantAP2292MA
2363A00000XPhysician AssistantPA2292MA
3363AM0700XMedical Physician AssistantAP2292MA

General Provider Information

NPI Number : 1992858104
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A RANSOM PA
Provider Business Mailing Address
First Line : 31 PLIMPTON ST
Second Line :
City : WALPOLE
State : MA
Zip : 02081-3722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 170 MORTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02130-3735
Country : US
Telephone Number : 617-971-3057
Fax Number : 617-971-3838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 03/26/2021

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Directions to “ ELIZABETH A RANSOM PA” Practice Location

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