National Provider Identifier
Caroline Booth, PA-C
Caroline Booth, 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) 632-3000.
Source: public NPPES record, last updated January 10, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1619536109
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 10, 2019
- Last Updated
- January 10, 2024
Practice Location
- 450 Brookline Ave
- Boston, MA 02215-5450
Phone: (617) 632-3000
Specialties
- Surgical Physician Assistant (363AS0400X)
- Physician Assistant (363A00000X)
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Biography
Caroline Booth, PA-C, is a Boston-based physician assistant whose professional affiliations include Dana-Farber Cancer Institute and Brigham and Women’s Hospital. Public Medicare profile data also reports that she completed her physician assistant training in 2019 and holds Massachusetts credentials that include surgical physician assistant practice.
Full Record
- NPI
- 1619536109
- Entity Type
- Individual
- Last Name
- Booth
- First Name
- Caroline
- Credential
- PA-C
- 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
- Mailing Fax
- (617) 278-6965
- 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
- Practice Fax
- (617) 278-6965
- Enumeration Date
- June 10, 2019
- Last Updated
- January 10, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 10, 2024
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)