Emma Stillman, PA
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1235985441
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1235985441
- Entity type
- Individual (NPI-1)
- Name
- Emma Stillman
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2024
- Certification date
- Apr 28, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
179 Longwood AveBoston, MA 02115-5804
Phone 617-732-2918
Mailing address
179 Longwood AveBoston, MA 02115-5804
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