Sydney Rose
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1528854635
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1528854635
- Entity type
- Individual (NPI-1)
- Name
- Sydney Rose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2025
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-724-3874
Mailing address
2540 Cherrytree LnNorth Chesterfield, VA 23235-2924
Phone 804-525-0004
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