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MICHAEL FULLAM, PA
PA
Physician Assistant
NPI: 1255599163IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
006268(NY)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1997
Contact & Hours
- Address
- 107 N OCEAN AVE
PATCHOGUE, NY 11772 - Phone
- (631) 654-5004
Quick Facts
- NPI
- 1255599163
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 29
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