Bolbotowski, Amanda T

Bolbotowski, Amanda T is an individual health care provider with primary practice located at 376 Arsenal St , Watertown MA 02472-2892. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bolbotowski, Amanda T can be contacted via phone (617) 923-2273.

Contact Information

Primary practice address
376 Arsenal St Watertown MA 02472-2892
Phone: (617) 923-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5788 Massachusetts

Profile Details

NPI number 1053865436
LBN Legal business name Bolbotowski, Amanda T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2016
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053865436 NPPES
Massachusetts Other PA5788 PA LICENSE

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