Individual
LINNEA ELISABETH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
440 BROOKLINE AVE, BOSTON, MA 02215-5413
(617) 632-3000
Mailing address
55 W CEDAR ST APT 5, BOSTON, MA 02114-3356
(401) 524-1576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6642
MA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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