Individual
AMY BACALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
60 FENWOOD RD FL 4, BOSTON, MA 02115-6128
(857) 307-2309
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7574
MA
Other
Enumeration date
06/04/2020
Last updated
02/25/2026
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