National Provider Identifier
Keith P Blaquiere, PA
Keith P Blaquiere, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (508) 566-2429.
Source: public NPPES record, last updated December 29, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265735369
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 10, 2010
- Last Updated
- December 29, 2023
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (508) 566-2429
Mailing Address
- 49 Grand Oak RD
- Forestdale, MA 02644-1202
Specialties
- Physician Assistant (363A00000X)
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Biography
Keith Blaquiere, PA-C, is a physician assistant with hospital medicine and emergency medicine affiliations through Cape Cod Healthcare, including Cape Cod Hospital and Falmouth Hospital. He completed physician assistant training at Nova Southeastern University and is listed by Doximity as an NCCPA-certified PA-C with a rehabilitation hospitalist background in Boston.
Full Record
- NPI
- 1265735369
- Entity Type
- Individual
- Last Name
- Blaquiere
- First Name
- Keith
- Middle Name
- P
- Credential
- PA
- Mailing Street Address
- 49 Grand Oak RD
- Mailing City
- Forestdale
- Mailing State
- MA
- Mailing ZIP Code
- 02644-1202
- Mailing Country
- US
- Mailing Phone
- (508) 566-2429
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (508) 566-2429
- Enumeration Date
- December 10, 2010
- Last Updated
- December 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 29, 2023
- Taxonomies
- Physician Assistant (363A00000X)