Individual
ROBERT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3486
(860) 679-3489
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
035284
CT
Other
Enumeration date
07/13/2005
Last updated
01/13/2023
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