Individual
JULIA FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
6677
CT
Other
Enumeration date
06/17/2024
Last updated
11/04/2024
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