Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATIANA SUVOROV
ActiveTATIANA SUVOROV is a Medical Physician Assistant healthcare provider located in REVERE, Massachusetts. NPI 1346599420 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · REVERE, MA
Registration Details
- NPI Number
- 1346599420
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2012 (13.9180753508 yrs)
- Last Updated
- Jun 13, 2019
- Licenses
-
PA6778 (MA)015788 (NY)
Practice Information
- Address
-
CHA REVERE FAMILY CARE CENTER454 BROADWAYREVERE, MA, 02151Browse MA providers · Browse ZIP 02151
- Phone
- 7814858222
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in REVERE, MA
| Name | Credential | NPI |
|---|---|---|
| SHULAMIT BEL | PA | 1336517788 |
| ERIN MARIE CASEY | — | 1568005122 |
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.