Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA CHRISTINA DISTASIO, PA
Active Sole ProprietorJENNA CHRISTINA DISTASIO, PA is a Physician Assistant healthcare provider located in ROXBURY CROSSING, Massachusetts. NPI 1215148606 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROXBURY CROSSING, MA
Registration Details
- NPI Number
- 1215148606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2007 (19.2074309366 yrs)
- Last Updated
- Aug 19, 2020
- License
-
2229 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
91 PARKER HILL AVEROXBURY CROSSING, MA, 021203215Browse MA providers · Browse ZIP 02120
- Phone
- 6177546742
- Fax
- 6177546443
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROXBURY CROSSING, MA
| Name | Credential | NPI |
|---|---|---|
| ALISON SEE | PHYSICIAN ASSISTANT | 1871075598 |
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.