Individual provider · Type 1 NPI

Mackenzie Tatar, PA

Physician Assistant · Boston, MA

NPI number 1457069494 Active

Practice location

725 Albany St Ste 4B
Boston, MA 02118-3549

Fax (617) 414-5226

Mailing address

960 Massachusetts Ave, Fl 2
Boston, MA 02118

Other practice locations

  • 39B District Ave, Dorchester, MA 02125-1683 · (617) 638-7869

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9164 (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 1457069494

Mackenzie Tatar, PA's National Provider Identifier is 1457069494, issued on Nov 8, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Feb 19, 2026.