Alonso Bolivar, PA-C
Physician Assistant in Dedham, Massachusetts
1649941709- Practice location
- 983 Boston-Providence Turnpike, Dedham, MA 02026
- Phone
- 781-819-6400
- Fax
- —
- Last updated
- November 14, 2023
Alonso Bolivar is a Physician Assistant based in Dedham, MA. Alonso Bolivar practices in Dedham, MA and has the professional credentials of PA-C. The NPI Number for Alonso Bolivar is 1649941709 and holds a License No. PA9018 (MA). The current practice location address for Alonso Bolivar is 983 Boston-Providence Turnpike, Dedham, MA 02026 and can be reached out via phone at 781-819-6400.
Provider Profile Details
- NPI Number
- 1649941709
- Provider Name
- Alonso Bolivar
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 983 Boston-Providence Turnpike, Dedham, MA 02026
- Phone Number
- 781-819-6400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 27, 2021
- Last Update Date
- November 14, 2023
- Certification Date
- November 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 983 Boston-Providence Turnpike
Dedham, MA 02026 - City
- Dedham
- State
- Massachusetts
- Zip
- 02026
- Phone Number
- 781-819-6400
Provider Business Mailing Address Details
- Address
- 360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7105
- Phone Number
- 603-410-6700
- Fax Number
- 603-319-8308
License Information
- License Number
- PA9018
- 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. | |||
Other Physician Assistants near Dedham, MA
View all Physician Assistants in Dedham →Frequently Asked Questions
What is the NPI number of Alonso Bolivar, PA-C?
The NPI number of Alonso Bolivar, PA-C is 1649941709. It was assigned on September 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Alonso Bolivar, PA-C?
Alonso Bolivar, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA9018.
Where does Alonso Bolivar, PA-C practice?
The practice location is 983 Boston-Providence Turnpike, Dedham, MA 02026. The office can be reached at 781-819-6400 (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 1649941709 directly on the NPPES registry website.