National Provider Identifier
Erica Cordelle Thibeault, PA-C
Erica Cordelle Thibeault, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 355-7648.
Source: public NPPES record, last updated September 15, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1124547625
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 15, 2017
- Last Updated
- September 15, 2017
Practice Location
- 300 Longwood Ave
- Boston, MA 02115-5724
Phone: (617) 355-7648
Mailing Address
- 47 Colborne RD Apt B2
- Brighton, MA 02135-4112
Specialties
- Surgical Physician Assistant (363AS0400X)
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Biography
Erica Thibeault, PA-C, MPAS, is a physician assistant with Mount Auburn OB/GYN in Waltham, Massachusetts. She trained as a physician assistant at Massachusetts College of Pharmacy and Health Sciences and was listed by Mount Auburn Hospital as part of its 2024 Endometriosis Care Conference program, recognizing advanced-care fellowship work in endometriosis.
Full Record
- NPI
- 1124547625
- Entity Type
- Individual
- Last Name
- Thibeault
- First Name
- Erica
- Middle Name
- Cordelle
- Credential
- PA-C
- Mailing Street Address
- 47 Colborne RD Apt B2
- Mailing City
- Brighton
- Mailing State
- MA
- Mailing ZIP Code
- 02135-4112
- Mailing Country
- US
- Practice Street Address
- 300 Longwood Ave
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-5724
- Practice Country
- US
- Practice Phone
- (617) 355-7648
- Enumeration Date
- September 15, 2017
- Last Updated
- September 15, 2017
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Surgical Physician Assistant (363AS0400X)