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NPI Code Detail

MEDICARE: ROSANNA C FULCHIERO D.O.

MEDICARE:   ROSANNA C FULCHIERO  D.O.
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
12080P0210XPediatric Nephrology PhysicianOT020045PA
2208000000XPediatrics Physician0102205597VA

General Provider Information

NPI Number : 1518316652
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSANNA C FULCHIERO D.O.
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 8280 WILLOW OAKS CORPORATE DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4526
Country : US
Telephone Number : 571-472-4300
Fax Number : 571-665-6771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 08/23/2023

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Directions to “ ROSANNA C FULCHIERO D.O.” Practice Location

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