DR. EDWARD JACKSON BOOTH PHD APA-C NPI 1487813317

NPI Information

NPI: 1487813317
Provider Name: DR. EDWARD JACKSON BOOTH, PHD, APA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
10 GENERAL GREENE AVENUE
BUILDING 42
NATICK, MA
ZIP 01760
Phone: (210) 618-5330
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DR. Edward Jackson Booth, PHD, APA-C is a medical physician assistant in Natick, MA. DR. Edward Jackson Booth, PHD, APA-C NPI is 1487813317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 GENERAL GREENE AVENUE
BUILDING 42
NATICK, MA
ZIP 01760-007
Phone: (210) 618-5330

The enumeration date for this NPI number is 6/5/2008 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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