Individual
DR. GEORGE F. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3121
Mailing address
14 S ORCHARD DR, AMHERST, MA 01002-3039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
027003
CT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
027003
CT
Other
Enumeration date
12/08/2005
Last updated
07/17/2007
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