Individual
DAVID FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
PO BOX 9135, ATT: SHARON SILVA, BROOKLINE, MA 02446-9135
(603) 890-4404
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
58948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111457
—
MA
01
—
11530
NEIGHBORHOOD HEALTH PLAN
MA
01
—
6162
HEALTH NET
MA
01
—
7500359
UNITED HEALTHCARE MA
MA
01
—
99134101
NETWORK HEALTH
MA
01
—
AA9214
HARVARD PILGRIM
MA
01
—
B20017601
CIGNA MA
MA
05
—
DF11109
—
RI
01
—
E05248
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
01/12/2010
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