Ryan Matthew Fugate M.D.

NPI 1003042797 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1003042797
Gender Male
Enumeration Date 06/08/2009
Last Updated 06/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
620 JOHN PAUL JONES CIR
PORTSMOUTH VA, 23708-2111, US
Phone (757) 953-5000
Fax
Business Location
147 CRAWFORD PKWY
PORTSMOUTH VA, 23704-2636, US
Phone (609) 477-9122
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Ryan Matthew Fugate M.D. NPI is 1003042797, taxonomy code is 390200000X Ryan Matthew Fugate M.D. physically located at 620 John Paul Jones Cir, Portsmouth VA, 23708-2111. NPI Number Ryan Matthew Fugate M.D. has the Individual type.

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1003042797 NPI number is provided on an as is basis without warranty of any kind. 1003042797 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Matthew Fugate M.D. are for informational purposes only.