Individual
AMANDA NICOLE VEGSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1254 BOYLSTON ST, BOSTON, MA 02215-4401
(508) 233-9112
Mailing address
399 BOYLSTON ST, BOSTON, MA 02116-3305
(857) 416-9218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8148
MA
Other
Enumeration date
04/07/2017
Last updated
11/24/2025
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