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Search › Massachusetts › Medical Physician Assistant

Tatiana Suvorov

NPI 1346599420 · on the registry since 2012

Practice

Address
Cha Revere Family Care Center
454 Broadway
Revere, MA 02151
Phone
(781) 485-8222

Additional practice sites

  • 600 East 233rd St, Bronx, NY

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Licence states on file
MA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-13

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