Most Relevant Information
Provider Data
| NPI Number: | 1003500687 |
| Provider Name: | FATIMA RODA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
41 MALL RD
BURLINGTON
MA
018050001
Practice Location Phone/Fax
| Phone: | 7817445100 |
| Fax: |
Provider Mailing Location
179 LONGWOOD AVE
BOSTON
MA
021155804
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |