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

Mary Miller

Individual provider Physician Assistant · NPI 1093322166

Mary Miller is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (603) 548-2384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8435 (MA)

Record details

NPI number1093322166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

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