Devon Thibodeau

Physician Assistant · Cambridge, MA

Individual Active NPI

NPI number 1316476252

Practice location

1493 Cambridge St
Cambridge, MA 02139-1047
Phone
(617) 665-2113

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NPI record

NPI
1316476252
Entity type
Individual (Type 1)
Enumeration date
June 5, 2017
Last updated
June 5, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

3 Beech Rd
Westford, MA 01886-1422

About Devon Thibodeau

Devon Thibodeau is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The NPI number 1316476252 was assigned on June 5, 2017 and the record was last updated on June 5, 2017.

Frequently asked questions

What is the NPI number of Devon Thibodeau?

The NPI number is 1316476252.

What is the phone number of Devon Thibodeau?

The phone number listed for the practice location is (617) 665-2113.

Where is Devon Thibodeau located?

1493 Cambridge St, Cambridge, MA 02139-1047.

What is the taxonomy code for Devon Thibodeau?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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