Individual
DR. SCOTT EDWARD FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3 BALDWIN GREEN CMN STE 207, WOBURN, MA 01801-1869
(781) 933-3332
Mailing address
3 BALDWIN GREEN CMN STE 207, WOBURN, MA 01801-1869
(781) 933-3332
(781) 933-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027013
CIGNA
MA
01
—
1001665
AMERICAN SPECIALTY HEALTH
MA
01
—
1611577
MASSHEALTH
MA
01
—
4494653
AETNA
MA
01
—
AA127819
HARVARD PILGRIM
MA
01
—
Y36107
BCBS MA
MA
Enumeration date
02/08/2006
Last updated
04/17/2023
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