NPI 1215045455

Summer Ann Mattera, PAC

Practitioner Surgical Physician Assistant West Roxbury, MA

Practice location

Address: 1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Phone: (857) 364-4848
Fax: (857) 364-4543
Mailing address: 85 Brainerd Rd APT 101, Allston, MA 02134-4529

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 1545 (MA)

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Registry record

NPI: 1215045455
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2006
Record last updated: 8 Jul 2007

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.