Individual provider · NPI-1

Marine Amatya Joshi, PA-C

Physician Assistant · Cambridge, MA

NPI number1053944868

StatusActive

Last updated in NPPESJan 31, 2023

Details

NPI: 1053944868
Entity type: Individual (NPI-1)
Name: Marine Amatya Joshi
Credential: PA-C
Sex: Female
Sole proprietor: Yes
Enumeration date: Feb 20, 2020
Certification date: Jan 31, 2023
Last updated: Jan 31, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363A00000X	Physician Assistant	–	–	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

1493 Cambridge St
Cambridge, MA 02139-1099

Phone 617-665-1552

Mailing address

4 Nickerson Rd
Lexington, MA 02421-6813

Other practice locations

4 Nickerson Rd
Lexington, MA 02421-6813

Phone 617-721-1480

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