Individual
ABIGAIL LAUREN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(508) 468-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MA
Enumeration date
12/28/2023
Last updated
05/16/2024
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