Virginia Mccullough, PA
NPI #1811039662 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1811039662
- Entity Type
- Individual
- Name
- Virginia Mccullough, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 170 MORTON ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-3735
- Phone
- (617) 971-3788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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