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NPI Code Detail

MEDICARE: CAILYN FULTON DO

MEDICARE: CAILYN FULTON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOT024963PA

General Provider Information

NPI Number : 1356281109
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAILYN FULTON DO
Provider Business Mailing Address
First Line : 2830 EASTON AVE
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-4204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2830 EASTON AVE
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-4204
Country : US
Telephone Number : 484-526-3555
Fax Number : 833-822-5230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 06/18/2026

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Directions to “ CAILYN FULTON DO” Practice Location

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