Individual
ANGELO PUCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3300
Mailing address
12 GILL ST, SUITE 3000, WOBURN, MA 01801-1728
(781) 937-4522
(781) 937-4510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2423
MA
Other
Enumeration date
10/17/2007
Last updated
02/07/2008
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