Physician Assistant
GUERDA DOMINIQUE PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1124031174 · enumerated 2006-08-14 · record updated 2025-03-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MARIE DOMINIQUE
Addresses and phones
- Mailing address 960 MASSACHUSETTS AVE STE 2, BOSTON, MA, 02118-2690 (617) 414-4505 Google Maps Apple Maps OpenStreetMap
- Practice location 11 NEVINS ST STE 306, BRIGHTON, MA, 02135-3514 (617) 414-4505 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 0110001307 VA
- Physician Assistant, Surgical 363AS0400X · License PA200001547 DC
- Physician Assistant 363A00000X · License C01930 MD
- Physician Assistant 363A00000X · Primary · License PA8505 MA
In this directory
Locations and evidence
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Practice location
BRIGHTON, MA, 021353514
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.