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

Individual provider Surgical Physician Assistant · NPI 1982950002

Miss. Nicole Bottino, PA-C is a Surgical Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts and New Jersey.

Licensed in
MA, NJ
In the registry since
2012
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

319 Longwood Ave
Boston, MA 02115
Phone: (617) 355-3501
Fax: (617) 730-0682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 319 Longwood Ave, Boston, MA 02115-5728 — (617) 355-3501

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00383500 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA4441 (MA)

Record details

NPI number1982950002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2012
Last updated in NPPESJune 19, 2018

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