Organization
FULLER FAMILY HEALTH AND WELLNESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRADFIELD FULLER D.O. (PRESIDENT)
(215) 938-4200
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 261, MEADOWBROOK, PA 19046-8004
(215) 938-4200
Mailing address
1650 HUNTINGDON PIKE, SUITE 261, MEADOWBROOK, PA 19046-8004
(215) 938-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS015425
PA
Other
Enumeration date
03/23/2011
Last updated
06/28/2011
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