Individual
CONNOR M FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MARYLAND RD STE 20, WILLOW GROVE, PA 19090-1732
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(609) 677-7003
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD486957
PA
Other
Enumeration date
04/09/2020
Last updated
09/02/2025
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