National Provider Identifier
Carolyn A. Boudreau, PA
Carolyn A. Boudreau, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 632-3000.
Source: public NPPES record, last updated September 15, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1285914705
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 29, 2011
- Last Updated
- September 15, 2022
Practice Location
- 450 Brookline Ave
- Boston, MA 02215-5450
Phone: (617) 632-3000
Specialties
- Physician Assistant (363A00000X)
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Biography
Carolyn Boudreau, PA-C, is a Boston-based physician assistant on the Breast Oncology Program treatment team at Dana-Farber Brigham Cancer Center. Public Medicare-derived profile data also list her with more than 15 years of PA experience, an affiliation with Brigham and Women’s Hospital, and work with Atrius Health.
Full Record
- NPI
- 1285914705
- Entity Type
- Individual
- Last Name
- Boudreau
- First Name
- Carolyn
- Middle Name
- A.
- Credential
- PA
- Provider Other Last Name
- Fiori
- Provider Other First Name
- Carolyn
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 450 Brookline Ave
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02215-5450
- Mailing Country
- US
- Mailing Phone
- (617) 632-3000
- Practice Street Address
- 450 Brookline Ave
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02215-5450
- Practice Country
- US
- Practice Phone
- (617) 632-3000
- Enumeration Date
- August 29, 2011
- Last Updated
- September 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 15, 2022
- Taxonomies
- Physician Assistant (363A00000X)