Individual
MATTHEW JAMES FEDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(203) 428-4440
Mailing address
2777 SUMMER ST STE 600, STAMFORD, CT 06905-4323
(203) 428-4440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7540
CT
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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