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Individual
MR. JOHN FULTON
Active
Individual
MR. JOHN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019159
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000409357001
HEALTH NOW
—
01
—
2162486
CCN
—
01
—
2276723
UNITED HEALTH CARE
—
01
—
3102929
AETNA HMO
—
01
—
713697
MVP
—
01
—
7542427
AETNA PPO
—
01
—
807052
MANAGED PHYSICAL NETWORK
—
01
—
83399
OPERATING ENGNRS LCL 825
—
01
—
P3106209
OXFORD
—
01
—
Q5081
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/11/2005
Last updated
05/10/2010
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