Marissa Pond, PA-C
Physician Assistant in Haverhill, MA. Individual provider (NPI-1).
NPI number1992302897
StatusActive
Last updated in NPPESOct 4, 2020
Details
- NPI
- 1992302897
- Entity type
- Individual (NPI-1)
- Name
- Miss Marissa Pond
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2020
- Certification date
- Oct 4, 2020
- Last updated
- Oct 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
95 Concord StHaverhill, MA 01830-2809
Phone 978-382-3828
Mailing address
95 Concord StHaverhill, MA 01830-2809
Phone 978-382-3828
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