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

ELIZABETH THIDEMANN, PA-C

Active

ELIZABETH THIDEMANN, PA-C is a Medical Physician Assistant healthcare provider located in CAMBRIDGE, Massachusetts. NPI 1629791975 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CAMBRIDGE, MA

Registration Details

NPI Number
1629791975
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2022 (3.9084251089609 yrs)
Last Updated
Aug 29, 2024
Licenses
PA100051 (MA)
PA100051 (MA)

Practice Information

Address
725 CONCORD AVE STE 6100
CAMBRIDGE, MA, 021381040
Browse MA providers · Browse ZIP 02138
Phone
6178648822
Fax
6174914692
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CAMBRIDGE, MA

Name Credential NPI
GEORGE M TAYLOR PA-C 1598731143
PAMELA LEE SLATCHER PA 1932164357
LOUISE DIAS PA 1063614188
MRS. EMILY RUTH MASON HANSON PA-C 1760876437
MS. KAREN HAESSLER PA-C 1669844064
KATHRYN MOORE PA-C 1699307538
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.