Individual
DR. GREGORY JOHN FULCHIERO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
2525 9TH AVE STE 2A, ALTOONA, PA 16602-2014
(814) 943-7546
(814) 943-7543
Mailing address
2525 9TH AVE, SUITE 2A, ALTOONA, PA 16602-2014
(814) 943-7546
(814) 943-7543
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD432947
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD432947
PA
207ND0900X
Dermatopathology Physician
MD432947
PA
207NS0135X
Procedural Dermatology Physician
MD432947
PA
Other
Enumeration date
05/09/2007
Last updated
01/22/2025
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