# DAVID A FULLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548359979
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MA67224 | NJ | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | MA67224 | NJ | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 04/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01000344701 | AMERICHOICES | NJ |
| 05 | — | 01707828 | — | PA |
| 05 | — | 1000025140 | — | DE |
| 01 | — | 1114872002 | CIGNA | NJ |
| 01 | — | 1165178 | HEALTHNET | NJ |
| 01 | — | 1318485 | PA BS HIGHMARK | NJ |
| 01 | — | 2011301000 | AMERIHEALTH/KEYSTONE/IBC/PA BS | NJ |
| 01 | — | 2260119 | UNITED HEALTHCARE | NJ |
| 01 | — | 2884943 | AETNA | NJ |
| 01 | — | 36089 | UNIVERSITY HEALTH PLAN | NJ |
| 01 | — | 3K5443 | HEALTHNET | NJ |
| 01 | — | 60007696 | HORIZON NJ HEALTH | NJ |
| 05 | — | 7700202 | — | NJ |
| 01 | — | P2697348 | OXFORD | NJ |