NPI 1003435132

Connor M Fultz, MD

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Willow Grove, PA

Practice location

Address: 2400 Maryland Rd STE 20, Willow Grove, PA 19090-1732
Phone: (800) 321-9999
Fax: (267) 479-1321
Mailing address: 833 Chestnut St STE 520, Philadelphia, PA 19107-4430

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence MD486957 (PA)

Other Physical Medicine & Rehabilitation providers in Pennsylvania →

Registry record

NPI: 1003435132
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2020
Record last updated: 2 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.