Mary Rebecca Heaton, PAC

NPI #1902956931 in Jamaica Plain, Massachusetts

Provider Information

NPI Number
1902956931
Entity Type
Individual
Name
Mary Rebecca Heaton, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PAC
Enumeration Date
Jan 11, 2007
Last Updated
Jan 7, 2016

Practice Location

Address
170 MORTON ST
Address 2
LEMUEL SHATTUCK HOSPITAL
ZIP Code
02130-3735
Phone
(617) 522-8110

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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