Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa Fukuda, PA-C

Individual provider Medical Physician Assistant · NPI 1366006330

Theresa Fukuda, PA-C is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2019, 7 years ago. Practices with Robert J Obrien Jr MD and Assoc PC, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
Tufts University School of Medicine
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

43 Bowdoin St Apt 2F
Boston, MA 02114-4238
Phone: (802) 999-3882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1366006330
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESApril 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Robert J Obrien Jr Md And Assoc Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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