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Individual

HILARY FUIRITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(732) 363-1900
Mailing address
3402 EQUESTRIAN WAY, TOMS RIVER, NJ 08755-1911
(732) 814-4964

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00365700
NJ

Other

Enumeration date
07/07/2015
Last updated
01/04/2017
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