Active NPIIndividual providerSole proprietor

Dr. Susan B Fullerton, MD

Pediatrics in Trumbull, Connecticut

NPI Number1811168032
Practice location
44 Old Saw Mill RD, Trumbull, CT 06611-3355
Fax
—
Last updated
March 15, 2008

Susan Blumhagen Fullerton is a Pediatrics based in Trumbull, CT. Susan Blumhagen Fullerton practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Susan Blumhagen Fullerton is 1811168032 and holds a License No. 035896 (CT). The current practice location address for Susan Blumhagen Fullerton is 44 Old Saw Mill RD, Trumbull, CT 06611-3355 and can be reached out via phone at 203-380-8605.

Provider Profile Details

NPI Number
1811168032
Provider Name
Susan Blumhagen Fullerton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
44 Old Saw Mill RD, Trumbull, CT 06611-3355
Phone Number
203-380-8605
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2008
Last Update Date
March 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Old Saw Mill RD
Trumbull, CT 06611-3355
Zip
06611-3355
Phone Number
203-380-8605
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
44 Old Saw Mill RD
Trumbull, CT 06611-3355
City
Trumbull
State
CT
Zip
06611-3355
Phone Number
203-380-8605

License Information

License Number
035896
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Susan B Fullerton, MD?

The NPI number of Dr. Susan B Fullerton, MD is 1811168032. It was assigned on March 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan B Fullerton, MD?

Dr. Susan B Fullerton, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 035896.

Where does Dr. Susan B Fullerton, MD practice?

The practice location is 44 Old Saw Mill RD, Trumbull, CT 06611-3355. The office can be reached at 203-380-8605 (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 1811168032 directly on the NPPES registry website.

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