Keep your name, address, and other information up to date with the Board of Registration of Physician Assistants.
- This page, Update your physician assistant license information or request a duplicate license, is offered by
- Board of Registration of Physician Assistants
- Bureau of Health Professions Licensure
- Department of Public Health
Update your physician assistant license information or request a duplicate license
Contacts
Board of Registration of Physician Assistants
Phone
The Details of Update your physician assistant license information or request a duplicate license
What you need for Update your physician assistant license information or request a duplicate license
According to 263 CMR 3.03 (4), you must notify the Board in writing of any of the following events within thirty (30) days of their occurrence:
- Change of address
- Change of identity of your employer or employment status
- Any change in the identity or address of your registered supervising physician
- Your permanent departure from Massachusetts
It is important to keep your information updated. Your address on record is the Board mails your license and any correspondence. If you do not notify the Board of your new address, you may not receive a license renewal application and could miss the expiration of your license.
How to update Update your physician assistant license information or request a duplicate license
You may update your information on the Mass Department of Public Health Online Licensing site.
To request a duplicate license, you must mail in a paper form, available under 'by mail' below.
Mail your completed and signed Change of Address or Name and/or Request for Duplicate License (DOC) to:
MA Board of Registration of Physician Assistants
250 Washington Street
Boston, MA 02108
More info for Update your physician assistant license information or request a duplicate license
The address printed on your license is a public record that is available to anyone who requests it. If you are using your home address, you may wish to consider changing this to an office address.
Contact for Update your physician assistant license information or request a duplicate license
Address
250 Washington Street, Boston, MA 02108
Phone
Fax
(617) 973-0980