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Individual
JOHN FUDYMA
Active
Individual
JOHN FUDYMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
172763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010058701
EXCELLUS UNIVERA
NY
01
—
005108981
HEALTH NOW
NY
05
—
01205912
—
NY
01
—
0407602
INDEPENDENT HEALTH
NY
Enumeration date
05/09/2006
Last updated
11/27/2023
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