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

Individual provider Physician Assistant · NPI 1730184375

Courtney Slocum Petersen, PA-C is a Physician Assistant in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Georgia and Massachusetts.

Licensed in
GA, MA
In the registry since
2005
Specialties on file
2
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

750 Washington St # 178 Tufts Medical Center
Boston, MA 02111-1526
Phone: (617) 636-8200
Fax: (617) 636-7587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2624 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 004199 (GA)

Record details

NPI number1730184375
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2005
Last updated in NPPESJanuary 14, 2016

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