Latistia Gaston, PA
Latistia Gaston, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2002, 24 years ago. Practices with Damion J Valletta DO Professional Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 24
- Licensed in
- MA
- In the registry since
- 2007
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
175 Cambridge St Ste 400Boston, MA 02114-2797
Phone: (617) 643-6351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA4685 (MA) |
|---|
Record details
| NPI number | 1386780070 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | August 20, 2013 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Damion J Valletta Do Professional Corporation — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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