Kelly A Botsoglou, PA
Physician Assistant in Newton, Massachusetts
1528426095- Practice location
- 2014 Washington St, Newton, MA 02462-1607
- Phone
- 617-243-6000
- Fax
- —
- Last updated
- August 27, 2024
Kelly A Botsoglou is a Physician Assistant based in Newton, MA. Kelly A Botsoglou practices in Newton, MA and has the professional credentials of PA. The NPI Number for Kelly A Botsoglou is 1528426095 and holds a License No. PA7298 (MA). The current practice location address for Kelly A Botsoglou is 2014 Washington St, Newton, MA 02462-1607 and can be reached out via phone at 617-243-6000.
Provider Profile Details
- NPI Number
- 1528426095
- Provider Name
- Kelly A Botsoglou
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2014 Washington St, Newton, MA 02462-1607
- Phone Number
- 617-243-6000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2016
- Last Update Date
- August 27, 2024
- Certification Date
- August 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2014 Washington St
Newton, MA 02462-1607 - City
- Newton
- State
- Massachusetts
- Zip
- 02462-1607
- Phone Number
- 617-243-6000
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
License Information
- License Number
- PA7298
- 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 Kelly A Botsoglou, PA?
The NPI number of Kelly A Botsoglou, PA is 1528426095. It was assigned on January 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Kelly A Botsoglou, PA?
Kelly A Botsoglou, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA7298.
Where does Kelly A Botsoglou, PA practice?
The practice location is 2014 Washington St, Newton, MA 02462-1607. The office can be reached at 617-243-6000 (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 1528426095 directly on the NPPES registry website.