National Provider Identifier

Elena M Stukalin, PA

Elena M Stukalin, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 421-1000.

NPI 1891951331Boston, MAMedical Physician Assistant

Source: public NPPES record, last updated August 04, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1891951331
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 04, 2008
Last Updated
August 04, 2008

Practice Location

  • 133 Brookline Ave
  • Adult Telecom
  • Boston, MA 02215-3904

Phone: (617) 421-1000

Mailing Address

  • 147 Milk St Fl 9
  • Provider Enrollment
  • Boston, MA 02109-4806

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)

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Biography

Elena M. Stukalin, PA-C, is a Boston physician assistant in internal medicine affiliated with Atrius Health. Her background includes physician assistant training at Rochester Institute of Technology, completed in 1995, and certification by the National Commission on Certification of Physician Assistants.

Full Record
NPI
1891951331
Entity Type
Individual
Last Name
Stukalin
First Name
Elena
Middle Name
M
Credential
PA
Mailing Street Address
147 Milk St Fl 9
Mailing Address Line 2
Provider Enrollment
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02109-4806
Mailing Country
US
Mailing Phone
(617) 559-8374
Mailing Fax
(617) 421-3487
Practice Street Address
133 Brookline Ave
Practice Address Line 2
Adult Telecom
Practice City
Boston
Practice State
MA
Practice ZIP Code
02215-3904
Practice Country
US
Practice Phone
(617) 421-1000
Enumeration Date
August 04, 2008
Last Updated
August 04, 2008
Sex
Female
Sole Proprietor
No
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)