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Individual

ROSANNA C FULCHIERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
8280 WILLOW OAKS CORPORATE DR STE 300, FAIRFAX, VA 22031-4526
(571) 472-4300
(571) 665-6771
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102205597
VA
2080P0210X
Pediatric Nephrology Physician
OT020045
PA

Other

Enumeration date
06/09/2016
Last updated
08/23/2023
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