| Dr Ithiel Loken Ames Fuller, MD | |
|
17 Belmont Ave, Anesthesiology Dept, Brattleboro, VT 05301-7601 | |
| (802) 257-8220 | |
| Not Available |
| Full Name | Dr Ithiel Loken Ames Fuller |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 17 Belmont Ave, Brattleboro, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821217746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0420011774 (Vermont) | Secondary |
| 207L00000X | Anesthesiology | 84251 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 67242 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ithiel Loken Ames Fuller, MD 320 Pomfret St, Putnam, CT 06260-1836 Ph: (802) 760-8259 | Dr Ithiel Loken Ames Fuller, MD 17 Belmont Ave, Anesthesiology Dept, Brattleboro, VT 05301-7601 Ph: (802) 257-8220 |
Dr. John M. Burrell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17 Belmont Ave, Brattleboro, VT 05301 Phone: 802-257-8220 |