Individual
ERICA BREEN BALFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(413) 794-0000
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3752
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078374
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
MA
01
—
PA3752
BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS
MA
Enumeration date
03/27/2009
Last updated
01/25/2022
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