Russell Fullerton, MD
Radiology, Diagnostic Radiology in Milton, Massachusetts
1255727228- Practice location
- 199 Reedsdale RD, Milton, MA 02186-3926
- Phone
- 617-696-4600
- Fax
- —
- Last updated
- May 22, 2022
Russell Fullerton is a Radiology, Diagnostic Radiology based in Milton, MA. Russell Fullerton practices in Milton, MA and has the professional credentials of MD. The NPI Number for Russell Fullerton is 1255727228 and holds a License No. 287107 (MA). The current practice location address for Russell Fullerton is 199 Reedsdale RD, Milton, MA 02186-3926 and can be reached out via phone at 617-696-4600.
Provider Profile Details
- NPI Number
- 1255727228
- Provider Name
- Russell Fullerton
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 199 Reedsdale RD, Milton, MA 02186-3926
- Phone Number
- 617-696-4600
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 7, 2015
- Last Update Date
- May 22, 2022
- Certification Date
- May 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Reedsdale RD
Milton, MA 02186-3926 - City
- Milton
- State
- Massachusetts
- Zip
- 02186-3926
- Phone Number
- 617-696-4600
Provider Business Mailing Address Details
- Address
- 790 Boylston St Apt 6G
Boston, MA 02199-7905 - City
- Boston
- State
- MA
- Zip
- 02199-7905
- Phone Number
- 407-446-1246
License Information
- License Number
- 287107
- License State
- MA
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Russell Fullerton, MD?
The NPI number of Russell Fullerton, MD is 1255727228. It was assigned on April 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Russell Fullerton, MD?
Russell Fullerton, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 287107.
Where does Russell Fullerton, MD practice?
The practice location is 199 Reedsdale RD, Milton, MA 02186-3926. The office can be reached at 617-696-4600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255727228 directly on the NPPES registry website.