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NPI 1376986935 · live from the CMS NPI Registry

Alexis Boyatsis, PA-C

Physician Assistant in Derry, NH. National Provider Identifier 1376986935, active.

NPI record

NPI1376986935 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1 Parkland Dr, Derry, NH 03038
Practice phone603-432-1500
EnumeratedApril 14, 2013
Last updatedApril 14, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X0936 (NH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.