Most Relevant Information
Provider Data
NPI Number: | 1003328337 |
Provider Name: | REBECCA AMBER MORISSETTE PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | PA6319 |
Most Important Dates
Enumeration Date: | 10/26/2017 |
Last Updated: | 03/17/2018 |
Provider Practice Location
230 MAIN ST
AGAWAM
MA
010011838
Practice Location Phone/Fax
Phone: | 4137896800 |
Fax: |
Provider Mailing Location
230 MAIN ST
AGAWAM
MA
010011838
Provider Mailing Phone/Fax
Phone: | |
Fax: |