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NPI Code Detail

MEDICARE: MRS. CHRISTINA H DANNA PA-C

MEDICARE: MRS. CHRISTINA H DANNA 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 AssistantPA4332MA
2363A00000XPhysician AssistantPA01734RI
3363AS0400XSurgical Physician AssistantPA4332MA
4363AS0400XSurgical Physician AssistantPA01734RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912271313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA H DANNA PA-C
Provider Business Mailing Address
First Line : 11 NEVINS ST STE 306
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3514
Country : US
Telephone Number : 617-789-2045
Fax Number :
Provider Business Practice Location Address
First Line : 736 CAMBRIDGE ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-2907
Country : US
Telephone Number : 617-789-2045
Fax Number : 617-779-6760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2012
Last Update Date : 03/31/2026

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Directions to “ MRS. CHRISTINA H DANNA PA-C” Practice Location

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