Individual provider · Type 1 NPI

Donald Jenkins Fuller, PA-C

Medical Physician Assistant · Baltimore, MD

NPI number 1295863587 Active

Practice location

401 N Broadway, Rm 1360 Weinberg Bldg.
Baltimore, MD 21231-1146

Fax (410) 502-1746

Mailing address

1216A Baldwin Mill Rd
Jarrettsville, MD 21084-1908

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0000378 (MD)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1295863587

Donald Jenkins Fuller, PA-C's National Provider Identifier is 1295863587, issued on Mar 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.