MACKENZIE TATAR

BOSTON, MA
NPI1457069494
Former NameMACKENZIE BONNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA9164)
Enumeration Date2022-11-08
Last Update Date2026-02-19
Business Address
MACKENZIE TATAR PA
725 ALBANY ST STE 4B
BOSTON, MA 02118-3549
Phone number: 617-638-5633
Mailing Address
MACKENZIE TATAR PA
960 MASSACHUSETTS AVE FL 2
BOSTON, MA 02118
Phone number: