Provider Demographics
NPI:1659019388
Name:ALLMAN, VICTORIA (PA-C)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:960 MASSACHUSETTS AVE
Mailing Address - Street 2:ATTN: PROVIDER ENROLLMENT FLOOR 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:725 ALBANY STREET, SUITE 4B SHAPIRO BLDG
Practice Address - Street 2:BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-5633
Practice Address - Fax:617-414-5226
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2023-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA9237363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant