Individual provider · Type 1 NPI

Nicole Bottino, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1982950002 Active

Practice location

319 Longwood Ave
Boston, MA 02115

Fax (617) 730-0682

Mailing address

89 Fairfax Ct
Madison, NJ 07940-1150

Other practice locations

  • 319 Longwood Ave, Boston, MA 02115-5728 · (617) 355-3501

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA4441 (MA)
Surgical Physician Assistant Primary 363AS0400X25MP00383500 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1982950002

Nicole Bottino, PA-C's National Provider Identifier is 1982950002, issued on Jul 26, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Jun 19, 2018.