# MIND BODY HEALTHLINK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carl Fulwiler, M.D., Ph.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548564073
- **Authorized official:** CARL FULWILER M.D. (PRINCIPAL OWNER)
- **Authorized official phone:** (617) 271-3342

## Contact information

- **Practice address:** 26 CASTLE RD, NORTHBOROUGH, MA 01532-1249
- **Practice address phone:** (617) 271-3342
- **Mailing address:** 26 CASTLE RD, NORTHBOROUGH, MA 01532-1249
- **Mailing address phone:** (617) 271-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 80208 | MA | Yes |

## Other

- **Enumeration date:** 12/23/2010
- **Last updated:** 12/23/2010
