Search › Massachusetts › 363A00000X
Jenna Distasio, PA
NPI 1215148606 · on the registry since 2007 · sole proprietor
Practice
- Address
- 91 Parker Hill Ave
Roxbury Crossing, MA 02120 - Phone
- (617) 754-6742
- Fax
- (617) 754-6443
- Organisation at this address
- Orthopaedic Clinical Assoc Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts