National Provider Identifier

Toshiko Ikemoto, PA-C

Toshiko Ikemoto, 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) 732-7678.

NPI 1619042660Boston, MASurgical Physician Assistant

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1619042660
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
November 22, 2006
Last Updated
July 08, 2007

Practice Location

  • 75 Francis St
  • Boston, MA 02115-6110

Phone: (617) 732-7678

Mailing Address

  • 137 Freeman St
  • Unit 2A
  • Brookline, MA 02446-3592

Specialties

  • Surgical Physician Assistant (363AS0400X)

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Biography

Toshiko Ikemoto, PA-C, is a Boston physician assistant listed among the clinical staff for Brigham and Women’s Hospital Angiography and Interventional Radiology. Public Medicare-based profile information also lists her hospital affiliations with Brigham and Women’s Hospital and Dana-Farber Cancer Institute, and notes that she has been in practice since graduating in 1990.

Full Record
NPI
1619042660
Entity Type
Individual
Last Name
Ikemoto
First Name
Toshiko
Credential
PA-C
Mailing Street Address
137 Freeman St
Mailing Address Line 2
Unit 2A
Mailing City
Brookline
Mailing State
MA
Mailing ZIP Code
02446-3592
Mailing Country
US
Mailing Phone
(617) 732-7678
Practice Street Address
75 Francis St
Practice City
Boston
Practice State
MA
Practice ZIP Code
02115-6110
Practice Country
US
Practice Phone
(617) 732-7678
Enumeration Date
November 22, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
Taxonomies
Surgical Physician Assistant (363AS0400X)