NPI 1902299548 · live from the CMS NPI Registry
Amy Cameron
Physician Assistant in Boston, MA. National Provider Identifier 1902299548, active.
NPI record
| NPI | 1902299548 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 55 Fruit St # Street1, Boston, MA 02114 |
| Practice phone | 617-724-4100 |
| Mailing address | 269 Highland Ave Apt 2, Quincy, MA 02170 |
| Enumerated | March 6, 2015 |
| Last updated | April 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055-0031488 (VT) |
| Physician Assistant primary | 363A00000X | — |
| Physician Assistant | 363A00000X | 026534 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.