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Contact Information

DREW C FULLER, MD
7310 RITCHIE HWY STE 516
GLEN BURNIE, MD21061-3099
 Phone: 443-221-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DREW C FULLER · (Male)

NPI Number 1801808209
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 05/28/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D53298
  • MD Medicaid 511505100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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