IndividualActive
Amory De Roulet
NPI 1477085207 · Surgery Physician · Boston, MA
Provider details
- NPI number
- 1477085207
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 291548 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
Approximate (ZIP-level) locationGet directions
Mailing address
5645 Main St
Flushing, NY 11355-5045
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2022-05-31
- Certified
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.