Individual
SOPHIE A BOUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 ALBANY ST STE B & C, BOSTON, MA 02118-2526
(617) 414-4290
(617) 414-6031
Mailing address
690 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101028
MA
Other
Enumeration date
08/30/2024
Last updated
11/12/2024
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