IndividualActive
Alonso Bolivar, PA-C
NPI 1649941709 · Physician Assistant · Dedham, MA
Provider details
- NPI number
- 1649941709
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9018 (MA)
Practice location
983 Boston-Providence Turnpike
Dedham, MA 02026
Phone: (781) 819-6400
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2023-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.