Individual provider · Type 1 NPI

Alyssa Bonanno, PA-C

Physician Assistant · Waltham, MA

NPI number 1669279105 Active

Practice location

71 Border Rd Ste 300
Waltham, MA 02451-1044

Call (781) 890-2133 Map

Fax (781) 890-2177

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA101590 (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 1669279105

Alyssa Bonanno, PA-C's National Provider Identifier is 1669279105, issued on Mar 3, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waltham, MA. The record was last updated on May 6, 2025.