Organization
GOVINDJI FULETRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOVINDJI B FULETRA MD (PRESIDENT PHYSICIAN)
(610) 258-6567
Entity
Organization
Contact information
Practice address
1950 HAY TERRACE, EASTON, PA 18042
(610) 258-6567
(610) 258-6807
Mailing address
1950 HAY TERRACE, EASTON, PA 18042
(610) 258-6567
(610) 258-6807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD050804L
PA
Other
Enumeration date
03/10/2006
Last updated
08/22/2020
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