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Courtney Slocum Petersen, PA-C
Physician Assistant in Boston, Massachusetts
NPI 1730184375

Courtney Slocum Petersen is a Physician Assistant based in Boston, MA. Courtney Slocum Petersen practices in Boston, MA and has the professional credentials of PA-C. The NPI Number for Courtney Slocum Petersen is 1730184375 and holds a License No. 004199 (Massachusetts).

The current practice location address for Courtney Slocum Petersen is 750 Washington St # 178, Boston, MA and can be reached out via phone at 617-636-8200 and via fax at 617-636-7587.

Location: 750 Washington St # 178, Boston, MA, 02118-1996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730184375
Provider Name
Courtney Slocum Petersen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
750 Washington St # 178, Boston, MA, 02118-1996
Phone Number
617-636-8200
Fax Number
617-636-7587
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000867701 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
750 Washington St # 178
City
Boston
State
Massachusetts
Zip
02111-1526
Phone Number
617-636-8200
Fax Number
617-636-7587
person
Provider Business Mailing Address Details
Address
750 Washington St # 178
City
Boston
State
Massachusetts
Zip
02111-1526
Phone Number
617-636-8200
Fax Number
617-636-7587
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
004199 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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