Individual provider · Type 1 NPI

Brian Louis Boudreau, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1417352816 Active

Practice location

300 Longwood Ave, Department Of Otolaryngology
Boston, MA 02115-5724

Call (617) 355-6460 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA5161 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1417352816

Brian Louis Boudreau, PA-C's National Provider Identifier is 1417352816, issued on Oct 28, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Oct 28, 2014.