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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERICA CORDELLE THIBEAULT, PA-C

Active

ERICA CORDELLE THIBEAULT, PA-C is a Surgical Physician Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1124547625 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BOSTON, MA

Registration Details

NPI Number
1124547625
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2017 (8.9250355443797 yrs)
Last Updated
Sep 15, 2017
License
PA6205 (MA)

Practice Information

Address
300 LONGWOOD AVE
BOSTON, MA, 021155724
Browse MA providers · Browse ZIP 02115
Phone
6173557648
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in BOSTON, MA

Name Credential NPI
ROBERT C MCKENNA PA 1912992876
PAUL S DESILLIER PAC 1013903152
MR. JEFFERSON KNOTT PA 1285615641
MR. BRIAN CHARLES MEADERS P.A. 1760412894
AYDEN T SEGURITAN PA 1033221015
JOY BRETTLER PA-C 1598861114
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.