Active NPIIndividual provider

Emily Boudreau

Physician Assistant in Weymouth, Massachusetts

NPI Number1487213021
Practice location
101 Columbian St, Weymouth, MA 02190-1601
Fax
781-624-4840
Last updated
October 26, 2022

Emily Boudreau is a Physician Assistant based in Weymouth, MA. Emily Boudreau practices in Weymouth, MA. The NPI Number for Emily Boudreau is 1487213021 and holds a License No. PA8649 (MA). The current practice location address for Emily Boudreau is 101 Columbian St, Weymouth, MA 02190-1601 and can be reached out via phone at 781-624-5000 and via fax at 781-624-4840.

Provider Profile Details

NPI Number
1487213021
Provider Name
Emily Boudreau
Provider Entity Type
Individual
Gender
Female
Address
101 Columbian St, Weymouth, MA 02190-1601
Phone Number
781-624-5000
Fax Number
781-624-4840
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2019
Last Update Date
October 26, 2022
Certification Date
October 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Columbian St
Weymouth, MA 02190-1601
Zip
02190-1601
Phone Number
781-624-5000
Fax Number
781-624-4840
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
101 Columbian St
Weymouth, MA 02190-1601
City
Weymouth
State
MA
Zip
02190-1601
Phone Number
781-624-5000
Fax Number
781-624-4840

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X
License Number (4)
PA8649
License State (4)
MA
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Emily Boudreau?

The NPI number of Emily Boudreau is 1487213021. It was assigned on June 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Emily Boudreau?

Emily Boudreau is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8649.

Where does Emily Boudreau practice?

The practice location is 101 Columbian St, Weymouth, MA 02190-1601. The office can be reached at 781-624-5000 (phone) or 781-624-4840 (fax).

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 1487213021 directly on the NPPES registry website.

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