NPI 1891284188 · live from the CMS NPI Registry
Albert L. Fullerton, M.D. LLC
Psychiatry & Neurology, Neurology in Woburn, MA. National Provider Identifier 1891284188, active.
NPI record
| NPI | 1891284188 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 604 Main St, Woburn, MA 01801 |
| Practice phone | 781-935-3710 |
| Enumerated | May 2, 2018 |
| Last updated | May 2, 2018 |
| Authorized official | Albert Fullerton, Practice Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 37514 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.