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Matthew Paul Fuller, PA-C
Physician Assistant in Boston, Massachusetts
NPI 1053030759

Matthew Paul Fuller is a Physician Assistant based in Medford, MA. Matthew Paul Fuller practices in Boston, MA and has the professional credentials of PA-C. The NPI Number for Matthew Paul Fuller is 1053030759 and holds a License No. (Massachusetts).

The current practice location address for Matthew Paul Fuller is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-4100 and via fax at 617-726-7415.

Location: 55 Fruit St, Boston, MA, 02155-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053030759
Provider Name
Matthew Paul Fuller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02155-5055
Phone Number
617-724-4100
Fax Number
617-726-7415
Provider Enumeration Date
08/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-724-4100
Fax Number
617-726-7415
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2696
Phone Number
617-724-4100
Fax Number
617-726-7415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA100048 (Massachusetts)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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