Amanda T Bolbotowski, PA-C
Physician Assistant in Watertown, Massachusetts
1053865436- Practice location
- 376 Arsenal St, Watertown, MA 02472-2892
- Phone
- 617-923-2273
- Fax
- —
- Last updated
- July 21, 2022
Amanda T Bolbotowski is a Physician Assistant based in Watertown, MA. Amanda T Bolbotowski practices in Watertown, MA and has the professional credentials of PA-C. The NPI Number for Amanda T Bolbotowski is 1053865436 and holds a License No. PA5788 (MA). The current practice location address for Amanda T Bolbotowski is 376 Arsenal St, Watertown, MA 02472-2892 and can be reached out via phone at 617-923-2273.
Provider Profile Details
- NPI Number
- 1053865436
- Provider Name
- Amanda T Bolbotowski
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 376 Arsenal St, Watertown, MA 02472-2892
- Phone Number
- 617-923-2273
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2016
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 376 Arsenal St
Watertown, MA 02472-2892 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-2892
- Phone Number
- 617-923-2273
Provider Business Mailing Address Details
- Address
- 43 Harvard Ave Unit 1
Medford, MA 02155-3504 - City
- Medford
- State
- MA
- Zip
- 02155-3504
- Phone Number
- 203-243-7505
License Information
- License Number
- PA5788
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda T Bolbotowski, PA-C?
The NPI number of Amanda T Bolbotowski, PA-C is 1053865436. It was assigned on August 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Amanda T Bolbotowski, PA-C?
Amanda T Bolbotowski, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5788.
Where does Amanda T Bolbotowski, PA-C practice?
The practice location is 376 Arsenal St, Watertown, MA 02472-2892. The office can be reached at 617-923-2273 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053865436 directly on the NPPES registry website.