Samuel Kang, PA-C
Physician Assistant in East Boston, MA. Individual provider (NPI-1).
NPI number1982142303
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1982142303
- Entity type
- Individual (NPI-1)
- Name
- Samuel Kang
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2017
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
10 Gove StEast Boston, MA 02128-1920
Phone 617-569-5800
Mailing address
80 Reed Ave Unit BEverett, MA 02149-3941
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