Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zachary Fuller, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053061945

Zachary Fuller, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 972-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053061945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address150 Bergen St, Newark, NJ 07103-2496

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