TED FAULL, MD
Family Medicine - Geriatric Medicine
Active
Individual
NPI: 1770560724
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | 36082109 (IL) |
| Family Medicine - Geriatric Medicine | 207QG0300X | Yes | 35.091967 (OH) |
Frequently Asked Questions
NPI 1770560724 is the National Provider Identifier for TED FAULL, MD, a Family Medicine - Geriatric Medicine provider located in Boardman, OH. This NPI was enumerated on December 29, 2005.
TED FAULL, MD practices at 900 TRAILWOOD DR, Boardman, OH 44512.
Quick Facts
- NPI
- 1770560724
- Type
- Individual
- Enumerated
- Dec 29, 2005
- Last Updated
- Apr 9, 2024
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