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Contact Information

DAVID B FULLER, DO
4190 CITY AVE
PHILADELPHIA, PA19131-1626
 Phone: 215-871-6425
 Fax: 215-871-6490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID B FULLER · (Male)

NPI # 1992742977
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/31/2006
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # DO-495
  • PA License # OS015425
Hospital affiliation(s)
  • MAIN LINE HOSPITAL LANKENAU - (Acute Care)
    100 LANCASTER AVE
    WYNNEWOOD, PA 19096
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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