National Provider Identifier

Kelly Neligan Fucillo, PA-C, MPAS

Kelly Neligan Fucillo, PA-C, MPAS is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-2844.

NPI 1619493376Boston, MAPhysician Assistant

Source: public NPPES record, last updated September 23, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1619493376
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 15, 2017
Last Updated
September 23, 2020

Practice Location

  • 55 Fruit St
  • Boston, MA 02114-2621

Phone: (617) 724-2844

Mailing Address

  • 270 Bowdoin St
  • Winthrop, MA 02152-1735

Specialties

  • Physician Assistant (363A00000X)

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Biography

Kelly Fucillo, MPAS, PA-C, is a certified physician assistant in Boston whose public profile lists her practice affiliation with Massachusetts General Hospital. She holds a Master of Physician Assistant Studies degree and is described in public directory sources as a physician assistant and primary care practitioner.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1619493376
Entity Type
Individual
Last Name
Fucillo
First Name
Kelly
Middle Name
Neligan
Credential
PA-C, MPAS
Provider Other Last Name
Neligan
Provider Other First Name
Kelly
Provider Other Middle Name
Elizabeth
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
270 Bowdoin St
Mailing City
Winthrop
Mailing State
MA
Mailing ZIP Code
02152-1735
Mailing Country
US
Mailing Phone
(516) 528-7927
Practice Street Address
55 Fruit St
Practice City
Boston
Practice State
MA
Practice ZIP Code
02114-2621
Practice Country
US
Practice Phone
(617) 724-2844
Practice Fax
(617) 726-5804
Enumeration Date
August 15, 2017
Last Updated
September 23, 2020
Sex
Female
Sole Proprietor
No
Certification Date
September 23, 2020
Taxonomies
Physician Assistant (363A00000X)