Individual provider · Type 1 NPI

Guerda Dominique, PA

Physician Assistant · Brighton, MA

NPI number 1124031174 Active

Practice location

11 Nevins St Ste 306
Brighton, MA 02135-3514

Call (617) 414-4505 Map

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice locations

2434 W Belvedere Ave, Baltimore, MD 21215-5202 · (410) 601-2246
900 23rd St NW, Washington, DC 20037-2342 · (202) 715-4000
736 Cambridge St, Boston, MA 02135-2907 · (617) 789-3000

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	0110001307 (VA)
Surgical Physician Assistant	363AS0400X	PA200001547 (DC)
Physician Assistant	363A00000X	C01930 (MD)
Physician Assistant Primary	363A00000X	PA8505 (MA)

Physician Assistant: 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, orde…

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About NPI 1124031174

Guerda Dominique, PA's National Provider Identifier is 1124031174, issued on Aug 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brighton, MA. The record was last updated on Mar 26, 2025.