Individual
ALEXANDRA M. KOLOSSOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101702
MA
363AM0700X
Medical Physician Assistant
027055
NY
Other
Enumeration date
08/25/2021
Last updated
08/27/2025
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