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Individual
NICHOLAS FUCA
Active
Individual
NICHOLAS FUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
309782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA11243800
STATE LICENSE
NJ
Enumeration date
04/28/2016
Last updated
02/19/2024
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