Search › Pennsylvania › 204D00000X
David Fuller, D.O
NPI 1992742977 · on the registry since 2006
Practice
- Address
- 4190 City Ave
Philadelphia, PA 19131 - Phone
- (215) 871-6425
- Fax
- (215) 871-6490
- Organisation at this address
- Ent R Net, P A
City Line E.N.T., Pc
City Line Pediatrics
Philadelphia Health & Education Corp
Philadelphia College Of Osteopathic MedicineInferred from a shared address, not stated in the registry. - Clinicians at this address
- 177
Registry record
- Primary taxonomy
- 204D00000X
204D00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- AL, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-01
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 Pennsylvania