Individual provider · Type 1 NPI

Jefferson Knott, PA

Surgical Physician Assistant · Boston, MA

NPI number 1285615641 Active

Practice location

330 Brookline Ave, Bidmc Shapiro 2 C/o Dr. Paul Glazer
Boston, MA 02215-5400

Fax (617) 667-2233

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1285615641

Jefferson Knott, PA's National Provider Identifier is 1285615641, issued on Nov 10, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Sep 11, 2025.