Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard Emile Fisette Jr., PA-C

Individual provider Physician Assistant · NPI 1710356274

Mr. Richard Emile Fisette Jr., PA-C is a Physician Assistant in Worcester, Massachusetts. Practices as a sole proprietor and works from 3 locations. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2015
Specialties on file
2
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

55 Lake Ave N Room: HA-318 University Campus
Worcester, MA 01655-0002
Phone: (774) 443-7552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 Powel Avenue, Newport, RI 02840 — (401) 846-6400
  • 43 Smith Rd, Newport, RI 02841-1006 — (401) 841-4115

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00905 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 746014 (MA)

Record details

NPI number1710356274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 15, 2015
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

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