Pucillo, Angelo

Pucillo, Angelo is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176-3225. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pucillo, Angelo can be contacted via phone (781) 979-3300.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176-3225
Phone: (781) 979-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2423 Massachusetts

Profile Details

NPI number 1134318090
LBN Legal business name Pucillo, Angelo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Feb 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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