Individual provider · Type 1 NPI

Kelly Neligan Fucillo, PA-C, MPAS

Physician Assistant · Boston, MA

NPI number 1619493376 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (617) 724-2844 Map

Fax (617) 726-5804

Mailing address

270 Bowdoin St
Winthrop, MA 02152-1735

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA6259 (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 1619493376

Kelly Neligan Fucillo, PA-C, MPAS's National Provider Identifier is 1619493376, issued on Aug 15, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Sep 23, 2020.