Organization Name: | VILMA G. FULE,M.D.,L.L.C. |
NPI Number: | 1942447875 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VILMA G. FULE (OWNER) |
Mailing Address: | 2730 Kennedy Blvd Jersey City |
State: | NJ US |
Postal Code: | 073065508 |
Phone Number: | 2014351660 |
Fax Number: | 2014358409 |
NPI Enumeration Date: | 01/14/2009 |
NPI Last Update Date: | 01/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA04014800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |