Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICOLAS JUNIOR DESJARDINS, PA-C
ActiveMR. NICOLAS JUNIOR DESJARDINS, PA-C is a Surgical Physician Assistant healthcare provider located in SOMERVILLE, Massachusetts. NPI 1144722372 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SOMERVILLE, MA
Registration Details
- NPI Number
- 1144722372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2018 (8.482042881818 yrs)
- Last Updated
- Jan 22, 2021
- Licenses
-
PA6469 (MA)PA6469 (MA)PA6469 (MA)PA6469 (MA)PA6469 (MA)
Practice Information
- Address
-
96 SUMMER ST APT 1SOMERVILLE, MA, 021432707Browse MA providers · Browse ZIP 02143
- Phone
- 6178348784
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Health Educator
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Physician Assistant
- Additional Specialty
- 405300000X
Other Surgical Physician Assistant Providers in SOMERVILLE, MA
| Name | Credential | NPI |
|---|---|---|
| RICHARD MARTIN | PA-C | 1194873760 |
| ASHLEY PIEMONTE FISHMAN | — | 1578021911 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.