Active NPIIndividual provider

Mr. Matthew Fuller

Physician Assistant in Foxborough, Massachusetts

NPI Number1992156681
Practice location
1 Patriot Pl, Foxborough, MA 02035-1388
Fax
—
Last updated
September 12, 2022

Matthew Fuller is a Physician Assistant based in Foxborough, MA. Matthew Fuller practices in Foxborough, MA. The NPI Number for Matthew Fuller is 1992156681 and holds a License No. PA8051 (MA). The current practice location address for Matthew Fuller is 1 Patriot Pl, Foxborough, MA 02035-1388 and can be reached out via phone at 508-404-7602.

Provider Profile Details

NPI Number
1992156681
Provider Name
Matthew Fuller
Provider Entity Type
Individual
Gender
Male
Address
1 Patriot Pl, Foxborough, MA 02035-1388
Phone Number
508-404-7602
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2016
Last Update Date
September 12, 2022
Certification Date
September 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Patriot Pl
Foxborough, MA 02035-1388
Zip
02035-1388
Phone Number
508-404-7602
Foxborough, MA 02035Get directions →

Provider Business Mailing Address Details

Address
11 Agawam St Apt 1
Dorchester, MA 02122-2791
City
Dorchester
State
MA
Zip
02122-2791
Phone Number
508-404-7602

License Information

License Number
PA8051
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Matthew Fuller?

The NPI number of Mr. Matthew Fuller is 1992156681. It was assigned on June 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew Fuller?

Mr. Matthew Fuller is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8051.

Where does Mr. Matthew Fuller practice?

The practice location is 1 Patriot Pl, Foxborough, MA 02035-1388. The office can be reached at 508-404-7602 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992156681 directly on the NPPES registry website.

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