Healthcare Provider Details

I. General information

NPI: 1700887619
Provider Name (Legal Business Name): KAREN HINCHEN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST SUITE 204
ARLINGTON MA
02476-4784
US

IV. Provider business mailing address

22 MILL ST SUITE 204
ARLINGTON MA
02476-4784
US

V. Phone/Fax

Practice location:
  • Phone: 781-648-9700
  • Fax:
Mailing address:
  • Phone: 781-648-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number629
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: