Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mariolino Da Graca Fernandes, PA-C

Individual provider Physician Assistant · NPI 1275094310

Mr. Mariolino Da Graca Fernandes, PA-C is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
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

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 780 Albany St, Boston, MA 02118-2755 — (857) 654-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8012 (MA)

Record details

NPI number1275094310
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESJuly 26, 2026
Certification dateApril 4, 2024

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