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Dr. Edward Jackson Booth, PHD,APA-C
Medical Physician Assistant in Natick, Massachusetts
NPI 1487813317

Edward Jackson Booth is a Medical Physician Assistant based in Natick, MA and is specialized in Medical. Edward Jackson Booth practices in Natick, MA and has the professional credentials of PHD,APA-C. The NPI Number for Edward Jackson Booth is 1487813317 and holds a License No. (Massachusetts).

The current practice location address for Edward Jackson Booth is 10 General Greene Avenue, Natick, MA and can be reached out via phone at 210-618-5330.

Location: 10 General Greene Avenue, Natick, MA, 01760-5007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487813317
Provider Name
Edward Jackson Booth
Credential
PHD,APA-C
Provider Entity Type
Individual
Gender
Male
Address
10 General Greene Avenue, Natick, MA, 01760-5007
Phone Number
210-618-5330
Fax Number
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 General Greene Avenue
City
Natick
State
Massachusetts
Zip
01760-5007
Phone Number
210-618-5330
Fax Number
person
Provider Business Mailing Address Details
Address
10 General Greene Avenue
City
Natick
State
Massachusetts
Zip
01760-5007
Phone Number
210-618-5330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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