Bryce Ken Fukunaga M.D.

NPI 1215200159 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1215200159
Gender Male
Enumeration Date 02/22/2012
Last Updated 02/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3450 WAYNE AVENUE
#22R
BRONX NY, 10467, US
Phone (808) 780-2401
Fax
Business Location
3450 WAYNE AVENUE
#22R
BRONX NY, 10467, US
Phone (808) 780-2401
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bryce Ken Fukunaga M.D. NPI is 1215200159, taxonomy code is 390200000X Bryce Ken Fukunaga M.D. physically located at 3450 Wayne Avenue, Bronx NY, 10467. NPI Number Bryce Ken Fukunaga M.D. has the Individual type.

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1215200159 NPI number is provided on an as is basis without warranty of any kind. 1215200159 is maintained by the National Plan & Provider Enumeration System. The contents of Bryce Ken Fukunaga M.D. are for informational purposes only.