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

Individual provider Physician Assistant · NPI 1104048362

Mrs. Alissa Bologna Siciliano, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2006, 20 years ago. Practices with South Shore Medical Center, Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2007
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

725 Albany St Shapiro 3 Ste B
Boston, MA 02118-2526
Phone: (617) 638-8485
Fax: (617) 414-7372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 780 Main St Ste 2c, Weymouth, MA 02190-1618 — (781) 331-4600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2318 (MA)

Record details

NPI number1104048362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice South Shore Medical Center, Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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