DEANNA M WALL

BOSTON, MA
NPI1114963022
Former NameDEANNA M OSTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  PA7360)
Additional Taxonomies363A00000X Physician Assistant
(Licence: RI  PA00511)
363AM0700X Physician Assistant, Medical
(Licence: RI  PA00511)
Enumeration Date2006-06-20
Last Update Date2024-04-04
Business Address
Mrs. DEANNA M WALL PA
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-5500
Mailing Address
Mrs. DEANNA M WALL PA
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-732-5500