Griffin H Boedicker
Physician Assistant, Surgical in Newton, Massachusetts
1417724246- Practice location
- 159 Wells Ave Ste 500, Newton, MA 02459-3301
- Phone
- 617-965-4263
- Fax
- —
- Last updated
- February 26, 2025
Griffin Hunter Boedicker is a Physician Assistant, Surgical based in Newton, MA. Griffin Hunter Boedicker practices in Newton, MA. The NPI Number for Griffin Hunter Boedicker is 1417724246 and holds a License No. PA101506 (MA). The current practice location address for Griffin Hunter Boedicker is 159 Wells Ave Ste 500, Newton, MA 02459-3301 and can be reached out via phone at 617-965-4263.
Provider Profile Details
- NPI Number
- 1417724246
- Provider Name
- Griffin Hunter Boedicker
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 159 Wells Ave Ste 500, Newton, MA 02459-3301
- Phone Number
- 617-965-4263
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 12, 2023
- Last Update Date
- February 26, 2025
- Certification Date
- February 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 159 Wells Ave Ste 500
Newton, MA 02459-3301 - City
- Newton
- State
- Massachusetts
- Zip
- 02459-3301
- Phone Number
- 617-965-4263
Provider Business Mailing Address Details
- Address
- 159 Wells Ave Ste 500
Newton, MA 02459-3301 - City
- Newton
- State
- MA
- Zip
- 02459-3301
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- PA101506
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · 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 Griffin H Boedicker?
The NPI number of Griffin H Boedicker is 1417724246. It was assigned on December 12, 2023 and is currently active in the NPPES registry.
What is the specialty of Griffin H Boedicker?
Griffin H Boedicker is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA101506.
Where does Griffin H Boedicker practice?
The practice location is 159 Wells Ave Ste 500, Newton, MA 02459-3301. The office can be reached at 617-965-4263 (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 1417724246 directly on the NPPES registry website.