Monet Samone Bland, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1891403697
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1891403697
- Entity type
- Individual (NPI-1)
- Name
- Ms. Monet Samone Bland
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9084 | MA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA9084 | MA |
Practice location
75 Francis StBoston, MA 02115-6106
Phone 617-732-5500
Mailing address
1050 Hancock St Apt 23Quincy, MA 02169-2196
Phone 857-413-0696
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