Individual provider · Type 1 NPI

Deborah Antos, PA

Medical Physician Assistant · Braintree, MA

NPI number 1295798437 Active

Practice location

111 Grossman Dr
Braintree, MA 02184-4997

Mailing address

147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X273 (MA)
Medical Physician Assistant Primary 363AM0700X273 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1295798437

Deborah Antos, PA's National Provider Identifier is 1295798437, issued on Apr 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Braintree, MA. The record was last updated on Jan 13, 2014.