Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn A. Boudreau, PA

Individual provider Physician Assistant · NPI 1285914705

Carolyn A. Boudreau, PA is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (617) 632-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 Brookline Ave, Boston, MA 02215-3904 — (617) 421-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4223 (MA)

Record details

NPI number1285914705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

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