GREGORY P DECONCILIIS

WALTHAM, MA
NPI1366658502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MA  1250)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- GREGORY P DECONCILIIS P.A.-C
840 WINTER ST. BOSTON OUT-PATIENT SURGICAL SUITES, LLC
WALTHAM, MA 02451
Phone number: 781-895-4908
Mailing Address
-- GREGORY P DECONCILIIS P.A.-C
22 CHARLEMONT ST
NEWTON, MA 02461-1908
Phone number: 617-233-6804