Individual
RUSSELL FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 696-4600
Mailing address
790 BOYLSTON ST APT 6G, BOSTON, MA 02199-7905
(407) 446-1246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
287107
MA
Other
Enumeration date
04/07/2015
Last updated
05/22/2022
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