Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariah Swiech Henderson, PA

Individual provider Physician Assistant · NPI 1104376904

Mariah Swiech Henderson, PA is a Physician Assistant in Medford, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

124 Professors Row
Medford, MA 02155-5816
Phone: (617) 627-7947
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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 PA5908 (MA)

Record details

NPI number1104376904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 5, 2016
Last updated in NPPESMarch 23, 2020
Certification dateMarch 23, 2020

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