Individual
DR. ANNE E FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3444 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 920-2273
Mailing address
3411 WAYNE AVE RM 830, BRONX, NY 10467-2509
(718) 920-5974
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
284754-1
NY
208000000X
Pediatrics Physician
MD455664
PA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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