Provider Demographics
NPI:1407549397
Name:THAMMALANGSY, JASMINE (PA)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:THAMMALANGSY
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Gender:
Credentials:PA
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Mailing Address - Street 1:960 MASSACHUSETTS AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 EAST ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:617-202-6001
Practice Address - Fax:978-722-7972
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2025-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA100960363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical