Angelo Pucillo, PA

Physician Assistant · Melrose, MA

Individual Active NPI

NPI number 1134318090

Practice location

585 Lebanon St
Melrose, MA 02176-3225
Phone
(781) 979-3300

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NPI record

NPI
1134318090
Entity type
Individual (Type 1)
Enumeration date
October 17, 2007
Last updated
February 7, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 2423 MA

Mailing address

12 Gill St
Suite 3000
Woburn, MA 01801-1728
Phone
(781) 937-4522
Fax
(781) 937-4510

About Angelo Pucillo

Angelo Pucillo, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 585 Lebanon St, Melrose, MA 02176-3225. The NPI number 1134318090 was assigned on October 17, 2007 and the record was last updated on February 7, 2008.

Angelo Pucillo lists a license in the registry: #2423 (MA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Angelo Pucillo, PA?

The NPI number is 1134318090.

What is the phone number of Angelo Pucillo?

The phone number listed for the practice location is (781) 979-3300.

Where is Angelo Pucillo located?

585 Lebanon St, Melrose, MA 02176-3225.

What is the taxonomy code for Angelo Pucillo?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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