Individual
DR. FULESIE GRAY ARTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
17 RUTH AVE, CLIFTON, NJ 07014-1818
(973) 778-4943
(973) 778-4943
Mailing address
17 RUTH AVE, CLIFTON, NJ 07014-1818
(973) 778-4943
(973) 778-4943
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
MD002535
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1499599
GHI PPO
NJ
01
—
3550373
CIGNA
NJ
05
—
9017909
—
NJ
Enumeration date
12/27/2006
Last updated
07/09/2007
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