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Theresa Fukuda, PA-C
Medical Physician Assistant in Boston, Massachusetts
NPI 1366006330

Theresa Fukuda is a Medical Physician Assistant based in Boston, MA and is specialized in Medical. Theresa Fukuda practices in Boston, MA and has the professional credentials of PA-C. The NPI Number for Theresa Fukuda is 1366006330 and holds a License No. (Massachusetts).

The current practice location address for Theresa Fukuda is 43 Bowdoin St Apt 2F, Boston, MA and can be reached out via phone at 802-999-3882.

Location: 43 Bowdoin St Apt 2F, Boston, MA, 02114-4238
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Provider Profile Details
NPI Number
1366006330
Provider Name
Theresa Fukuda
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
43 Bowdoin St Apt 2F, Boston, MA, 02114-4238
Phone Number
802-999-3882
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
092289 05 MA
institution
Provider Business Practice Location Address Details
Address
43 Bowdoin St Apt 2F
City
State
Zip
02114-4238
Phone Number
802-999-3882
Fax Number
person
Provider Business Mailing Address Details
Address
43 Bowdoin St Apt 2F
City
State
Zip
02114-4238
Phone Number
802-999-3882
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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