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

Ellen Proeung, PA

Individual provider Physician Assistant · NPI 1083019764

Ellen Proeung, PA is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
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

75 Francis St
Boston, MA 02115-6110
Phone: (617) 632-3206
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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 PA5162 (MA)

Record details

NPI number1083019764
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2014
Last updated in NPPESOctober 24, 2014
Mailing address75 Francis St, Boston, MA 02115-6110

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