Individual
BIANCA FULGENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
90 BERGEN ST STE 5200, NEWARK, NJ 07103-2425
(973) 972-5209
(973) 972-5059
Mailing address
90 BERGEN ST STE 5200, NEWARK, NJ 07103-2425
(973) 972-5209
(973) 972-5059
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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