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Latistia Gaston, PA
NPI 1386780070 · on the registry since 2007
Practice
- Address
- 175 Cambridge St Ste 400
Boston, MA 02114 - Phone
- (617) 643-6351
- Organisation at this address
- Pro Optical
Jeffrey Kublin Od, Pc
George H. Theodore, Md Pc
Daniel J. Townsend, Md, Pc
Massachusetts General HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 73
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-20
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