Doctor Name: | DR. PATRICK FULTZ |
NPI Number: | 1952330367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 165371 |
Business Practice Address: | 601 Elmwood Ave Box 648 Rochester, NY - 146420001 |
Business Phone Number: | 5952751376 |
Business Fax Number: | |
Mailing Address: | 601 Elmwood Ave, Box 648 ROCHESTER |
State: | NY |
Postal Code: | 146420001 |
Phone Number: | 5952751376 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 165371 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |