Justin Puckett
NPI #1417447475 in Everett, Massachusetts
Provider Information
- NPI Number
- 1417447475
- Entity Type
- Individual
- Name
- Justin Puckett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 15, 2018
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 103 GARLAND ST
- City
- Everett
- State
- Massachusetts
- ZIP Code
- 02149-5066
- Phone
- (617) 381-7133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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