Susan L Fullemann MD

NPI #1497824262 in Burlingame, California

Provider Information

NPI Number: 1497824262
Entity Type: Organization
Organization Name: Susan L Fullemann MD
Primary Specialty: Specialist
Enumeration Date: Nov 7, 2006
Last Updated: Aug 15, 2012

Practice Location

Address: 1820 OGDEN DR
Address 2: 1ST FLOOR
City: Burlingame
State: California
ZIP Code: 94010-5384
Phone: (650) 697-7202

Authorized Official

Name: DR. SUSAN L FULLEMANN, M.D.
Title: MEDICAL DIRECTOR
Phone: (650) 697-7202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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