Individual
ALYSSA GRACE FULGINITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
7 WOODSIDE FARM DR, GARNET VALLEY, PA 19060-1228
(610) 800-2042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
HS000239L
PA
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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