person
Gregory P Deconciliis, PA-C
Surgical Physician Assistant in Waltham, Massachusetts
NPI 1366658502

Gregory P Deconciliis is a Surgical Physician Assistant based in Newton, MA and is specialized in Surgical. Gregory P Deconciliis practices in Waltham, MA and has the professional credentials of PA-C. The NPI Number for Gregory P Deconciliis is 1366658502 and holds a License No. 1250 (Massachusetts).

The current practice location address for Gregory P Deconciliis is 840 Winter St., Waltham, MA and can be reached out via phone at 781-895-4908 and via fax at 781-895-4902. You can also correspond with Gregory P Deconciliis through the mailing address at 22 CHARLEMONT ST, NEWTON, MA - 02461-1908 (mailing address contact number: 617-233-6804).

Location: 840 Winter St., Waltham, MA, 02461-1908
person
Provider Profile Details
NPI Number
1366658502
Provider Name
Gregory P Deconciliis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
840 Winter St., Waltham, MA, 02461-1908
Phone Number
781-895-4908
Fax Number
781-895-4902
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
840 Winter St.
City
State
Zip
02451
Phone Number
781-895-4908
Fax Number
781-895-4902
person
Provider Business Mailing Address Details
Address
22 Charlemont St
City
State
Zip
02461-1908
Phone Number
617-233-6804
Fax Number
781-207-0204
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1250 (Massachusetts)
Definition
Definition to come...
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