Individual
MR. ROBERT FULLMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7644
Mailing address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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