Organization
DONALD S FULTON OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD S FULTON OD (OWNER/PROVIDER)
(860) 283-9857
Entity
Organization
Contact information
Practice address
131 MAIN ST, THOMASTON SQUARE, SUITE 4, THOMASTON, CT 06787-1747
(860) 283-9857
(860) 283-5414
Mailing address
131 MAIN ST, THOMASTON SQUARE, SUITE 4, THOMASTON, CT 06787-1747
(860) 283-9857
(860) 283-5414
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
765
CT
Other
Enumeration date
02/18/2009
Last updated
11/04/2010
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