Individual provider · Type 1 NPI

Elizabeth H. Ingram, PA

Medical Physician Assistant · Boston, MA

NPI number 1639134471 Active

Practice location

147 Milk St
Boston, MA 02109-4806

Call (617) 654-7000 Map

Fax (617) 482-3872

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X115 (MA)
Medical Physician Assistant Primary 363AM0700X115 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1639134471

Elizabeth H. Ingram, PA's National Provider Identifier is 1639134471, issued on Apr 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.