Provider Demographics
NPI:1669444394
Name:HORONJEFF, SHERRI R (PA)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:R
Last Name:HORONJEFF
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:10 SMART RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2016
Mailing Address - Country:US
Mailing Address - Phone:978-263-6821
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:LO-367
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6460
Practice Address - Fax:617-730-0611
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1001363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant