Jarrod Wallace Stein, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1861997017
StatusActive
Last updated in NPPESMay 18, 2018
Details
- NPI
- 1861997017
- Entity type
- Individual (NPI-1)
- Name
- Jarrod Wallace Stein
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2018
- Last updated
- May 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA6516 | MA | Yes |
Practice location
243 Charles StBoston, MA 02114
Phone 617-523-7900
Mailing address
243 Charles StBoston, MA 02114-3002
Phone 617-573-3192
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