Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew James Fedullo, PA-C

Individual provider Physician Assistant · NPI 1831048602

Matthew James Fedullo, PA-C is a Physician Assistant in Stamford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2026.

Licensed in
CT
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2777 Summer St Ste 600
Stamford, CT 06905-4323
Phone: (203) 428-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7540 (CT)

Record details

NPI number1831048602
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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