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Organization
SUSAN L FULLEMANN MD
Active
Organization
SUSAN L FULLEMANN MD
Active
Other names
BURLINGAME FAMILY HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L FULLEMANN M.D. (MEDICAL DIRECTOR)
(650) 697-7202
Entity
Organization
Contact information
Practice address
1820 OGDEN DR, 1ST FLOOR, BURLINGAME, CA 94010-5384
(650) 697-7202
(650) 697-7059
Mailing address
1820 OGDEN DR, 1ST FLOOR, BURLINGAME, CA 94010-5384
(650) 697-7202
(650) 697-7059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G51875
CA
Other
Enumeration date
11/07/2006
Last updated
08/15/2012
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