Madeline Fullerton, OD

NPI #1528732500 in Roxbury, Massachusetts

Provider Information

NPI Number: 1528732500
Entity Type: Individual
Name: Madeline Fullerton, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 4, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 45 DIMOCK ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-1208
Phone: (617) 442-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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