Andre De Souza Licht, PA-C
Andre De Souza Licht, PA-C is a Physician Assistant in Boston, Massachusetts. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
36 1st AveBoston, MA 02129-4557
Phone: (617) 726-2947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1881467421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | October 31, 2023 |
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