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Jack City, Llc
Surgical Physician Assistant in Watertown, Massachusetts
NPI 1376002931

Jack City, Llc is a Surgical Physician Assistant based in Watertown, MA and is specialized in Surgical. Jack City, Llc practices in Watertown, MA. The NPI Number for Jack City, Llc is 1376002931 and holds a License No. (Massachusetts).

The current practice location address for Jack City, Llc is 251 Boylston St, Watertown, MA and can be reached out via phone at 617-393-1709 and via fax at 617-754-6420.

Location: 251 Boylston St, Watertown, MA, 02472-2429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376002931
Provider Name
Jack City, Llc
Credential
Provider Entity Type
Organization
Address
251 Boylston St, Watertown, MA, 02472-2429
Phone Number
617-393-1709
Fax Number
617-754-6420
Provider Enumeration Date
03/13/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
251 Boylston St
City
Watertown
State
Massachusetts
Zip
02472-4143
Phone Number
617-393-1709
Fax Number
617-754-6420
person
Provider Business Mailing Address Details
Address
251 Boylston St
City
Watertown
State
Massachusetts
Zip
02472-4143
Phone Number
617-393-1709
Fax Number
617-754-6420
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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