Individual
DR. PATRICK FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642-0001
(595) 275-1376
Mailing address
601 ELMWOOD AVE, BOX 648, ROCHESTER, NY 14642-0001
(595) 275-1376
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
165371
NY
2085R0202X
Diagnostic Radiology Physician
165371
NY
2085U0001X
Diagnostic Ultrasound Physician
Primary
165371
NY
Other
Enumeration date
06/30/2006
Last updated
06/08/2009
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