Jae Won Rhee, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1265299754
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1265299754
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jae Won Rhee
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA100561 | MA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA100561 | MA |
Practice location
75 Francis StBoston, MA 02115-6106
Phone 617-732-5500
Mailing address
75 Francis StBoston, MA 02115-6106
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