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SUSAN L FULLEMANN MD NPI 1497824262


NPI Information

NPI: 1497824262
Provider Name: SUSAN L FULLEMANN MD

Doing Business As: BURLINGAME FAMILY HEALTH MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1820 OGDEN DR
1ST FLOOR
BURLINGAME, CA
ZIP 94010
Phone: (650) 697-7202
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SUSAN L FULLEMANN MD is a specialist in Burlingame, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUSAN L FULLEMANN MD NPI is 1497824262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Burlingame Family Health Medical Group.

The provider's business location address is:

1820 OGDEN DR
1ST FLOOR
BURLINGAME, CA
ZIP 94010-384
Phone: (650) 697-7202
Fax: (650) 697-7059

The provider's authorized official is Susan L Fullemann .
The authorized official title is Medical Director and has the following contact phone number (650) 697-7202.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG51875CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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