Most Relevant Information
Provider Data
| NPI Number: | 1003548561 |
| Provider Name: | ADDISON LANDRY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2022 |
| Last Updated: | 06/24/2022 |
Provider Practice Location
75 FRANCIS ST
BOSTON
MA
021156106
Practice Location Phone/Fax
| Phone: | 6177325500 |
| Fax: |
Provider Mailing Location
93 WESTWOOD RD
NORTH FALMOUTH
MA
025562245
Provider Mailing Phone/Fax
| Phone: | 7743920114 |
| Fax: |