Rian McCormack

Physician Assistant · Somerville, MA

Individual Active NPI

NPI number 1699186312

Practice location

33 Bow St
Somerville, MA 02143-2937
Phone
(617) 625-9992
Fax
(617) 666-0662

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NPI record

NPI
1699186312
Entity type
Individual (Type 1)
Enumeration date
May 15, 2014
Last updated
May 15, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA4876 MA

About Rian McCormack

Rian McCormack is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 33 Bow St, Somerville, MA 02143-2937. The NPI number 1699186312 was assigned on May 15, 2014 and the record was last updated on May 15, 2014.

Rian McCormack lists a license in the registry: #PA4876 (MA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rian McCormack?

The NPI number is 1699186312.

What is the phone number of Rian McCormack?

The phone number listed for the practice location is (617) 625-9992.

Where is Rian McCormack located?

33 Bow St, Somerville, MA 02143-2937.

What is the taxonomy code for Rian McCormack?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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