Individual
MEGHAN SUE FULLARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
570 SOUTH AVE E BLDG A, CRANFORD, NJ 07016-3266
(908) 603-4200
(908) 497-1633
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00582600
NJ
Other
Enumeration date
07/14/2020
Last updated
10/07/2022
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