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NPI Code Detail

MEDICARE: JENNIFER STREET HAKKARAINEN PA-C

MEDICARE: JENNIFER STREET HAKKARAINEN 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
1363AM0700XMedical Physician AssistantPA532MA
2363A00000XPhysician Assistant532MA

General Provider Information

NPI Number : 1144348616
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER STREET HAKKARAINEN PA-C
Provider Business Mailing Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4124
Country : US
Telephone Number : 413-395-7580
Fax Number :
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4124
Country : US
Telephone Number : 413-395-7580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 10/29/2019

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Directions to “ JENNIFER STREET HAKKARAINEN PA-C” Practice Location

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