Deborah Antos, PA
Individual provider Active NPI Medical Physician Assistant · Braintree, MA
NPI 1295798437 · NPPES record last updated Jan 13, 2014
Key facts
- NPI
- 1295798437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 273 (MA)
- Practice address
- 111 Grossman Dr
Braintree, MA 02184-4997 - Phone
- (781) 849-1000
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273 | MA | MD | Hearing Instrument Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 273 | MA | |
| Medical Physician Assistant | 363AM0700X | 273 | MA | Yes |
Addresses
Primary practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
Phone (617) 559-8267
Other providers in Braintree, MA
- Joan Paula Amidei
- Shivani Amin
- Anchored Maternal Services LLC
- Bret Adam Ancowitz
- Vitalina Andrade
- John Joseph Antosz
- Janette Ruth Archer
- Maura Archuleta
- Kara Arico
- Aiisha Armand
All providers in Braintree, MA · Medical Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.