Individual provider · Type 1 NPI

Theresa Fukuda, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1366006330 Active

Practice location

43 Bowdoin St Apt 2F
Boston, MA 02114-4238

Call (802) 999-3882 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1366006330

Theresa Fukuda, PA-C's National Provider Identifier is 1366006330, issued on Apr 25, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Apr 25, 2019.