Whalio Doctors

NPI 1144722372

Nicolas Junior Desjardins, PAC

Practitioner Surgical Physician Assistant Somerville, MA

Practice location

Address
96 Summer St APT 1, Somerville, MA 02143-2707
Phone
(617) 834-8784

Registered specialties (5)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA6469 (MA)
Health Educator
Other Service Providers Taxonomy 174H00000X Licence PA6469 (MA)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence PA6469 (MA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA6469 (MA)
Prevention Professional
Other Service Providers Taxonomy 405300000X Licence PA6469 (MA)

Registry record

NPI
1144722372
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Mar 2018
Record last updated
22 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.