Individual
MADISON BILIOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 ALBANY STREET, SUITE 7A, SHAPIRO BLDG., BOSTON, MA 02118
(617) 638-8419
(174) 140-2016
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101629
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110221900A
—
MA
05
—
3150623
—
NH
Enumeration date
04/09/2025
Last updated
12/22/2025
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