Individual provider · Type 1 NPI

Elizabeth Thidemann, PA-C

Medical Physician Assistant · Cambridge, MA

NPI number 1629791975 Active

Practice location

725 Concord Ave Ste 6100
Cambridge, MA 02138-1040

Call (617) 864-8822 Map

Fax (617) 491-4692

Mailing address

330 Mount Auburn St # 2
Cambridge, MA 02138-5597

Other practice locations

  • 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 · (617) 373-3195

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA100051 (MA)
Medical Physician Assistant Primary 363AM0700XPA100051 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1629791975

Elizabeth Thidemann, PA-C's National Provider Identifier is 1629791975, issued on Sep 21, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cambridge, MA. The record was last updated on Aug 29, 2024.