Provider Demographics
NPI:1073051702
Name:FRITSCHY, TAYLOR M (PA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:M
Last Name:FRITSCHY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:54 FERNVIEW AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4448
Mailing Address - Country:US
Mailing Address - Phone:978-973-6103
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:978-973-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-04-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant