Provider Demographics
NPI:1255817482
Name:REGO, CHELSEA MORGAN (PA-C)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MORGAN
Last Name:REGO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 STUART ST STE A-7
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5609
Mailing Address - Country:US
Mailing Address - Phone:844-377-4199
Mailing Address - Fax:
Practice Address - Street 1:137 STUART ST # A-7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5609
Practice Address - Country:US
Practice Address - Phone:844-377-4199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant