# FULTON CHEN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811299175
- **Authorized official:** DR. FULTON SHEEN CHEN MD (PRESIDENT)
- **Authorized official phone:** (510) 739-1922

## Contact information

- **Practice address:** 1999 MOWRY AVE STE S, FREMONT, CA 94538-1723
- **Practice address phone:** (510) 739-1922
- **Practice address fax:** (510) 739-1925
- **Mailing address:** 1999 MOWRY AVE, SUITE S, FREMONT, CA 94538-1738
- **Mailing address phone:** (510) 739-1922
- **Mailing address fax:** (510) 739-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A55609 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 03/06/2012
