Individual
DR. NAOMI K FUKAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
UNIVERSITY OF VERMONT, 89 BEAUMONT AVENUE, GIVEN BUILDING C-207, BURLINGTON, VT 05405-0001
(802) 656-4403
Mailing address
1061 PHEASANT HILL RD, SHELBURNE, VT 05482-7745
(802) 985-5495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48073
MA
Other
Enumeration date
01/03/2007
Last updated
08/28/2009
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