National Provider Identifier
Theresa Fukuda, PA-C
Theresa Fukuda, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (802) 999-3882.
Source: public NPPES record, last updated April 25, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1366006330
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 25, 2019
- Last Updated
- April 25, 2019
Practice Location
- 43 Bowdoin St Apt 2F
- Boston, MA 02114-4238
Phone: (802) 999-3882
Specialties
- Medical Physician Assistant (363AM0700X)
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Biography
Theresa Fukuda, PA-C, is a physician assistant with Dermatology Associates of Winchester, a Greater Boston dermatology practice with locations including Winchester and Reading. She completed physician assistant training at Tufts University School of Medicine in 2019 and is reported to be affiliated with Winchester Hospital.
Full Record
- NPI
- 1366006330
- Entity Type
- Individual
- Last Name
- Fukuda
- First Name
- Theresa
- Credential
- PA-C
- Mailing Street Address
- 43 Bowdoin St Apt 2F
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114-4238
- Mailing Country
- US
- Mailing Phone
- (802) 999-3882
- Practice Street Address
- 43 Bowdoin St Apt 2F
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-4238
- Practice Country
- US
- Practice Phone
- (802) 999-3882
- Enumeration Date
- April 25, 2019
- Last Updated
- April 25, 2019
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 092289 (MA)