Individual provider · Type 1 NPI
Matthew James Fedullo, PA-C
Physician Assistant · Stamford, CT
Practice location
2777 Summer St Ste 600
Stamford, CT 06905-4323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 7540 (CT) |
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…
3 other providers at this address
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About NPI 1831048602
Matthew James Fedullo, PA-C's National Provider Identifier is 1831048602, issued on Jan 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stamford, CT. The record was last updated on Jan 26, 2026.