STEPHANIE FULLER

PHILADELPHIA, PA
NPI1013115930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: PA  MD420734)
Additional Taxonomies208600000X Surgery
(Licence: PA  MD420734)
Enumeration Date2007-07-03
Last Update Date2013-04-11
Business Address
-- STEPHANIE FULLER M.D.
34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104-4399
Phone number: 215-590-2708
Mailing Address
-- STEPHANIE FULLER M.D.
100 EAST PENN SQUARE THE WANAMAKER BUILDING 9TH FL
PHILADELPHIA, PA 19107-3323
Phone number: 267-425-9538