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Individual
ERIN MARIE FULLER
Active
Individual
ERIN MARIE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042.0017325
VT
208600000X
Surgery Physician
324894
NY
208600000X
Surgery Physician
Primary
LP04007
RI
2086S0102X
Surgical Critical Care Physician
042.0017325
VT
2086S0102X
Surgical Critical Care Physician
324894
NY
Other
Enumeration date
06/15/2017
Last updated
05/21/2026
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