Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN LOUIS BOUDREAU, PA-C
Active Sole ProprietorBRIAN LOUIS BOUDREAU, PA-C is a Surgical Physician Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1417352816 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BOSTON, MA
Registration Details
- NPI Number
- 1417352816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2014 (11.815878678085 yrs)
- Last Updated
- Oct 28, 2014
- License
-
PA5161 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 LONGWOOD AVEDEPARTMENT OF OTOLARYNGOLOGYBOSTON, MA, 021155724Browse MA providers · Browse ZIP 02115
- Phone
- 6173556460
- 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.