Individual
DR. CARL E FULWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 W MAIN ST, NORTHBOROUGH, MA 01532-3810
(774) 329-9228
(508) 856-8700
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150445
—
MA
Enumeration date
02/14/2006
Last updated
07/24/2015
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