Individual
EMILY BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 COLUMBIAN ST, WEYMOUTH, MA 02190-1601
(781) 624-5000
(781) 624-4840
Mailing address
101 COLUMBIAN ST, WEYMOUTH, MA 02190-1601
(781) 624-5000
(781) 624-4840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8649
MA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/07/2019
Last updated
10/26/2022
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