Search › Massachusetts › 152W00000X
Madeline Fullerton, OD
NPI 1528732500 · on the registry since 2021
Practice
- Address
- 45 Dimock St
Roxbury, MA 02119 - Phone
- (617) 442-8800
- Fax
- (617) 427-4566
- Organisation at this address
- Dimock Community Health Center, Inc
Dimock Community Services CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts