Individual
MR. JEFFERSON KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
330 BROOKLINE AVE, BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER, BOSTON, MA 02215-5400
(617) 667-2225
(617) 667-2233
Mailing address
330 BROOKLINE AVE, BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER, BOSTON, MA 02215-5400
(617) 667-2225
(617) 667-2233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2005
Last updated
09/11/2025
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