Individual
DAVID DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4100
Mailing address
399 REVOLUTION DR STE 458, SOMERVILLE, MA 02145-1488
(860) 972-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003656
CT
363A00000X
Physician Assistant
Primary
PA5893
MA
363AM0700X
Medical Physician Assistant
003656
CT
Other
Enumeration date
08/23/2016
Last updated
07/06/2026
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