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Individual

VILMA D FUCANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 SULLIVAN WAY, WEST TRENTON, NJ 08628-3406
(609) 633-1562
(609) 633-8527
Mailing address
301 SULLIVAN WAY, WEST TRENTON, NJ 08628-3406
(609) 633-1562
(609) 633-8527

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA042727
NJ

Other

Enumeration date
09/29/2006
Last updated
07/09/2007
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