Ingrid Fuller is a Family Medicine in Shrewsbury, Massachusetts. Ingrid Fuller practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ingrid Fuller is 1063495828. The last update date is 2020-10-24.
Ingrid Fuller's current location address is 24 Julio Dr, Shrewsbury, Massachusetts. You can contact this provider via phone number 5088451436. The mailing address for Ingrid Fuller is 24 Julio Dr, Shrewsbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ingrid Fuller |
|---|---|
| Address | 24 Julio Dr, Shrewsbury, Massachusetts |
| Phone Number | 5088451436 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063495828 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2020-10-24 |
Provider Mailing Address Detail
| Address | 24 Julio Dr |
|---|---|
| City | Shrewsbury |
| State | Massachusetts (MA) |
| Post Code | 15453053 |
| Phone Number | 5088451436 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 75203 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3106284 | MA | -- |
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What is the unique 10-digit identification code issued to Ingrid Fuller by the Centers for Medicare & Medicaid Services?
The Ingrid Fuller has been assigned the NPI (National Provider Identifier) 1063495828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ingrid Fuller?
The Ingrid Fuller is situated at 24 Julio Dr, in the city of Shrewsbury, state of MA, with the zip code 15453053.
What is Ingrid Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ingrid Fuller is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063495828 to Ingrid Fuller?
The Centers for Medicare & Medicaid Services originally issued the 1063495828 to Ingrid Fuller on 2005-11-25.
As of what date were the Ingrid Fuller's details last updated?
The information pertaining to the Ingrid Fuller, including its address, specialty, and other details, was most recently updated on 2020-10-24.
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