Individual
ANA TUYA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12075
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD12075
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00705844
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
007060089
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
05-0450410
UNITED HEALTHCARE
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
31581-6
BLUE SHIELD
RI
01
—
31892
NEIGHBORHOOD HEALTH
RI
01
—
413315
BLUE CHIP
RI
05
—
705844
—
RI
Enumeration date
05/18/2006
Last updated
05/23/2025
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