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Individual

ROMAN FULMAN

Active
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Individual

ROMAN FULMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
253931
NY
207L00000X
Anesthesiology Physician
25MA08814600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0296074
NJ
05
03264362
NY
05
1026462960001
PA
Enumeration date
06/29/2007
Last updated
06/20/2013
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