Organization
MIND BODY HEALTHLINK
Active
Other names
Carl Fulwiler, M.D., Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
CARL FULWILER M.D. (PRINCIPAL OWNER)
(617) 271-3342
Entity
Organization
Contact information
Practice address
26 CASTLE RD, NORTHBOROUGH, MA 01532-1249
(617) 271-3342
Mailing address
26 CASTLE RD, NORTHBOROUGH, MA 01532-1249
(617) 271-3342
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
80208
MA
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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