Fulton, David

Fulton, David is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fulton, David can be contacted via phone (617) 355-2793.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-2793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 58948 Massachusetts

Profile Details

NPI number 1710978671
LBN Legal business name Fulton, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jan 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710978671 NPPES
Massachusetts MEDICAID 0111457
Massachusetts Other 7500359
Massachusetts Other 99134101
Massachusetts Other AA9214
Massachusetts Other E05248
Massachusetts Other 6162
Massachusetts MEDICAID DF11109
Massachusetts Other 11530
Massachusetts Other B20017601

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