Kelly Goncalves, PA-C
Physician Assistant in Norwood, MA. Individual provider (NPI-1).
NPI number1710427331
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1710427331
- Entity type
- Individual (NPI-1)
- Name
- Kelly Goncalves
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2017
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA6054 | MA | Yes |
Other names
- Kelly McLaughlin (Former Name)
Practice location
1210 Providence HwyNorwood, MA 02062-5061
Phone 781-255-0500
Mailing address
26 Central StSomerville, MA 02143-2827
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