Imani Joy Fuller, is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Imani Joy Fuller is licensed to practice in * (Not Available) (license number ) and her current practice location is
635 Albany St, Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 358-8300.
NPI number for Imani Joy Fuller is 1801567144 and her current mailing address is 635 Albany St, Boston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801567144.
Healthcare Provider's Profile
| Full Name | Imani Joy Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 635 Albany St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1801567144
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Imani Joy Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801567144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 17689 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imani Joy Fuller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Imani Joy Fuller,
635 Albany St,
Boston, MA 02118-3550
Ph: () - | Imani Joy Fuller,
635 Albany St,
Boston, MA 02118-3550
Ph: (617) 358-8300 |
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