Angelo Pucillo in Melrose - Physician Assistant
Angelo Pucillo - NPI 1134318090
Angelo Pucillo is a Physician Assistant in Melrose, Massachusetts. Angelo Pucillo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angelo Pucillo is 1134318090. The last update date is 2008-02-07.
Angelo Pucillo's current location address is 585 Lebanon St, Melrose, Massachusetts. You can contact this provider via phone number 7819793300. The mailing address for Angelo Pucillo is 585 Lebanon St, Melrose, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelo Pucillo |
|---|---|
| Address | 585 Lebanon St, Melrose, Massachusetts |
| Phone Number | 7819793300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1134318090 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 585 Lebanon St |
|---|---|
| City | Melrose |
| State | Massachusetts (MA) |
| Post Code | 21763225 |
| Phone Number | 7819793300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2423 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Angelo Pucillo's unique identification number?
The Angelo Pucillo has been assigned the NPI (National Provider Identifier) Number 1134318090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Angelo Pucillo is physically located?
The Angelo Pucillo is situated at the following address: 585 Lebanon St, Melrose, MA 21763225.
What is Angelo Pucillo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Angelo Pucillo is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134318090 to Angelo Pucillo?
The Angelo Pucillo received its 1134318090 assignment from the Centers for Medicare & Medicaid Services on 2007-10-17.
When was the Angelo Pucillo's information last updated?
The Angelo Pucillo's information was last updated on 2008-02-07.
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