Individual provider · Type 1 NPI

Matthew Paul Fuller, PA-C

Physician Assistant · Boston, MA

NPI number 1053030759 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 724-4100 Map

Fax (617) 726-7415

Mailing address

55 Station Lndg Apt 522W
Medford, MA 02155-5055

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA100048 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053030759

Matthew Paul Fuller, PA-C's National Provider Identifier is 1053030759, issued on Aug 25, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Oct 3, 2023.