Individual
DR. ANDREW P FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 CARLETON ST, E23-3 SOUTH, CAMBRIDGE, MA 02142-1323
(617) 253-2916
(617) 253-0162
Mailing address
25 CARLETON ST, E23-3 SOUTH, CAMBRIDGE, MA 02142-1323
(617) 253-2916
(617) 253-0162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
262015
MA
Other
Enumeration date
03/30/2011
Last updated
04/12/2017
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