DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ODETA HYSENAJ, PA

Active

Physician Assistant · ROCHDALE, MA

Registration Details

NPI Number
1306835129
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2005 (20.562093170065 yrs)
Last Updated
Jul 8, 2007
License
AP1941 (MA)

Practice Information

Address
111 HUNTOON MEMORIAL HWY
INNOVATIVE PHYSICIAN SERVICES LLC
ROCHDALE, MA, 01542
Browse MA providers · Browse ZIP 01542
Phone
5088926000
Fax
5088926001
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ROCHDALE, MA

Name Credential NPI
MS. ELENA GRAMMATIKAKIS PA 1508848896
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.