National Provider Identifier
Matthew Paul Fuller, PA-C
Matthew Paul Fuller, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-4100.
Source: public NPPES record, last updated October 03, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1053030759
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 25, 2022
- Last Updated
- October 03, 2023
Practice Location
- 55 Fruit St
- Boston, MA 02114-2696
Phone: (617) 724-4100
Mailing Address
- 55 Station Lndg Apt 522W
- Medford, MA 02155-5055
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
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Biography
Matthew Paul Fuller, PA-C, is a physician assistant with Atrius Health, with a clinical background in pediatric primary care. He studied at Northeastern University and brings prior military and emergency medicine experience, including service as a former Army Ranger and Special Operations Combat Medic.
Full Record
- NPI
- 1053030759
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Matthew
- Middle Name
- Paul
- Credential
- PA-C
- Mailing Street Address
- 55 Station Lndg Apt 522W
- Mailing City
- Medford
- Mailing State
- MA
- Mailing ZIP Code
- 02155-5055
- Mailing Country
- US
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2696
- Practice Country
- US
- Practice Phone
- (617) 724-4100
- Practice Fax
- (617) 726-7415
- Enumeration Date
- August 25, 2022
- Last Updated
- October 03, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 03, 2023
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)