Matthew Fedullo, PA-C

NPI 1831048602 · on the registry since 2026

Practice

Address: 2777 Summer St Ste 600
Stamford, CT 06905
Phone: (203) 428-4440
Organisation at this address: Omar A Ibrahimi Md Phd Llc
Lifestyle Medicine Center Llc
Foundations Developmental And Behavioral Pediatrics Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut