Individual
KOLE MAXWELL NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
830 HARRISON AVENUE, STE 3400, MOAKLEY BLDG., BOSTON, MA 02118-2905
(617) 414-8060
(617) 414-8012
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119725A
—
MA
Enumeration date
12/11/2014
Last updated
11/24/2025
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