KELLY NELIGAN FUCILLO

BOSTON, MA
NPI1619493376
Former NameKELLY ELIZABETH NELIGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA6259)
Enumeration Date2017-08-15
Last Update Date2020-09-23
Business Address
KELLY NELIGAN FUCILLO PA-C, MPAS
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-724-2844
Mailing Address
KELLY NELIGAN FUCILLO PA-C, MPAS
270 BOWDOIN ST
WINTHROP, MA 02152-1735
Phone number: 516-528-7927
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