Organization
VILMA G. FULE,M.D.,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA G. FULE M.D. (OWNER)
(201) 435-1660
Entity
Organization
Contact information
Practice address
2730 KENNEDY BLVD, JERSEY CITY, NJ 07306-5508
(201) 435-1660
(201) 435-8409
Mailing address
2730 KENNEDY BLVD, JERSEY CITY, NJ 07306-5508
(201) 435-1660
(201) 435-8409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04014800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108301
—
NJ
Enumeration date
01/14/2009
Last updated
01/14/2009
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