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General NPI Number Information
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NPI Number | 1679589840
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Entity Type | Individual
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Provider Name | MICHAEL ALAIN FULOP M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 1012 S NORTH POINT RD KEYPOINT HEALTH SERVICES
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City | BALTIMORE
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State | MD
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Zip | 21224-3338
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Country | US
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Telephone | 443-216-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 11516 HUNTERS RUN DR
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City | COCKEYSVILLE
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State | MD
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Zip | 21030-1941
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Country | US
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Telephone | 410-683-8304
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D37789
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License Number State | MD
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