Amanda Nicole Vegso, PA
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1902339823
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1902339823
- Entity type
- Individual (NPI-1)
- Name
- Amanda Nicole Vegso
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2017
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA8148 | MA | Yes |
Practice location
1254 Boylston StBoston, MA 02215-4401
Phone 508-233-9112
Mailing address
399 Boylston StBoston, MA 02116-3305
Phone 857-416-9218
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