Healthcare Provider Details

I. General information

NPI: 1386455244
Provider Name (Legal Business Name): ANASTASIA PAPAJIANI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 WASHINGTON ST
QUINCY MA
02169-5895
US

IV. Provider business mailing address

193 GRANT AVE
DEDHAM MA
02026-5014
US

V. Phone/Fax

Practice location:
  • Phone: 857-529-5220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA102553
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: