Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TED FAULL, MD
Active Sole ProprietorTED FAULL, MD is a Geriatric Medicine healthcare provider located in BOARDMAN, Ohio. NPI 1770560724 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · BOARDMAN, OH
Registration Details
- NPI Number
- 1770560724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.653129926404 yrs)
- Last Updated
- Apr 9, 2024
- Licenses
-
36082109 (IL)35.091967 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 TRAILWOOD DRBOARDMAN, OH, 445125007Browse OH providers · Browse ZIP 44512
- Phone
- 3307262575
- Fax
- 3309219319
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Geriatric Medicine
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.