Individual
ALBERT L FULLERTON
Active
Individual
ALBERT L FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
37514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172375
—
MA
01
—
11117
HPIP
MA
01
—
701381
TUFTS
MA
Enumeration date
09/27/2005
Last updated
07/13/2010
Update your record
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