Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNOR M FULTZ, MD
ActiveCONNOR M FULTZ, MD is a Sports Medicine (PM&R) healthcare provider located in WILLOW GROVE, Pennsylvania. NPI 1003435132 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · WILLOW GROVE, PA
Registration Details
- NPI Number
- 1003435132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2020 (6.3898723110132 yrs)
- Last Updated
- Sep 2, 2025
- License
-
MD486957 (PA)
Practice Information
- Address
-
2400 MARYLAND RD STE 20WILLOW GROVE, PA, 190901732Browse PA providers · Browse ZIP 19090
- Phone
- 8003219999
- Fax
- 2674791321
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.