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

Individual provider Medical Physician Assistant · NPI 1487922191

Mrs. Pamela Granville, PA-C is a Medical Physician Assistant in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
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

300 Longwood Ave Otolaryngology Dept
Boston, MA 02115-5724
Phone: (617) 355-6460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 301719 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA4292

Record details

NPI number1487922191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 8, 2011
Last updated in NPPESAugust 22, 2019

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