National Provider Identifier
Brian Louis Boudreau, PA-C
Brian Louis Boudreau, 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) 355-6460.
Source: public NPPES record, last updated October 28, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1417352816
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 28, 2014
- Last Updated
- October 28, 2014
Practice Location
- 300 Longwood Ave
- Department Of Otolaryngology
- Boston, MA 02115-5724
Phone: (617) 355-6460
Specialties
- Surgical Physician Assistant (363AS0400X)
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Biography
Brian Boudreau, PA-C, MPAS, practices with Boston Children’s Hospital’s Department of Otolaryngology and Communication Enhancement. His background includes pediatric otolaryngology research; he was a co-author of a 2018 Cleft Palate-Craniofacial Journal study examining otolaryngology service use among children with cleft palate at a pediatric tertiary care center.
Full Record
- NPI
- 1417352816
- Entity Type
- Individual
- Last Name
- Boudreau
- First Name
- Brian
- Middle Name
- Louis
- Credential
- PA-C
- Mailing Street Address
- 300 Longwood Ave
- Mailing Address Line 2
- Department Of Otolaryngology
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-5724
- Mailing Country
- US
- Practice Street Address
- 300 Longwood Ave
- Practice Address Line 2
- Department Of Otolaryngology
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-5724
- Practice Country
- US
- Practice Phone
- (617) 355-6460
- Enumeration Date
- October 28, 2014
- Last Updated
- October 28, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Surgical Physician Assistant (363AS0400X)