NPI 1447751292

Mark Joseph Fuller, MTBCNMT

Practitioner Music Therapist Boston, MA

Practice location

Address: 1800 Columbus Ave, Boston, MA 02119-1042
Phone: (617) 442-8800
Mailing address: 90 Woodstock Rd, North Andover, MA 01845-4358

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 13573 (MA)

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Registry record

NPI: 1447751292
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2018
Record last updated: 27 Feb 2018

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.