Individual
DR. BRIAN LAURENCE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-7355
(215) 349-8444
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-7355
(215) 349-8444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD466944
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD466944
PA
Other
Enumeration date
05/03/2016
Last updated
02/02/2026
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