National Provider Identifier
Mallory Macdonald, PA
Mallory Macdonald, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 732-5500.
Source: public NPPES record, last updated November 02, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1861034969
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 10, 2019
- Last Updated
- November 02, 2022
Practice Location
- 75 Francis St
- Boston, MA 02115-6106
Phone: (617) 732-5500
Mailing Address
- 52 Columbia St Apt 2
- Albany, NY 12207-2761
Specialties
- Physician Assistant (363A00000X)
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Biography
Mallory MacDonald, PA-C, is a physician assistant with Brigham and Women’s Primary Care Associates of Brookline. She completed physician assistant training at Albany Medical College in 2019.
Full Record
- NPI
- 1861034969
- Entity Type
- Individual
- Last Name
- Macdonald
- First Name
- Mallory
- Credential
- PA
- Mailing Street Address
- 52 Columbia St Apt 2
- Mailing City
- Albany
- Mailing State
- NY
- Mailing ZIP Code
- 12207-2761
- Mailing Country
- US
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6106
- Practice Country
- US
- Practice Phone
- (617) 732-5500
- Enumeration Date
- October 10, 2019
- Last Updated
- November 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 02, 2022
- Taxonomies
- Physician Assistant (363A00000X)