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NPI Code Detail

MEDICARE: HILARY FUIRITA PA

MEDICARE: HILARY FUIRITA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00365700NJ

General Provider Information

NPI Number : 1588047781
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILARY FUIRITA PA
Provider Business Mailing Address
First Line : 3402 EQUESTRIAN WAY
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-1911
Country : US
Telephone Number : 732-814-4964
Fax Number :
Provider Business Practice Location Address
First Line : 600 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5237
Country : US
Telephone Number : 732-363-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 01/04/2017

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Directions to “ HILARY FUIRITA PA” Practice Location

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