Healthcare Provider Details

I. General information

NPI: 1356187512
Provider Name (Legal Business Name): MICHAEL PAUL HUTCHINSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2024
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 PLEASANT LAKE AVE
HARWICH MA
02645-2552
US

IV. Provider business mailing address

16 OLD DEERFIELD RD
LEOMINSTER MA
01453-4705
US

V. Phone/Fax

Practice location:
  • Phone: 508-432-5233
  • Fax:
Mailing address:
  • Phone: 978-855-7819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA101489
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: