| NPI | 1548564073 |
|---|---|
| Other Name | CARL FULWILER, M.D., PH.D. |
| Entity Type | Organization |
| Authorized Contact | CARL FULWILER Principal Owner 617-271-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 80208) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |