Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Anne L Peterson, PA-C

Individual provider Physician Assistant · NPI 1649704545

Mary Anne L Peterson, PA-C is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
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

725 Albany St Ste 4B
Boston, MA 02118-3549
Phone: (617) 638-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39b District Ave, Dorchester, MA 02125-1683 — (617) 638-7869

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6154 (MA)

Record details

NPI number1649704545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024

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