Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda T Bolbotowski, PA-C

Individual provider Physician Assistant · NPI 1053865436

Amanda T Bolbotowski, PA-C is a Physician Assistant in Watertown, Massachusetts. Qualified in 2014, 12 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

376 Arsenal St
Watertown, MA 02472-2892
Phone: (617) 923-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1398 Mass Ave, Arlington, MA 02476-4150 — (781) 648-4572
  • 14 Research Pl, North Chelmsford, MA 01863-2412 — (978) 454-0706

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5788 (MA)

Record details

NPI number1053865436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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