Fullwood, Marcia Doreen

Fullwood, Marcia Doreen is an sole proprietor health care provider with primary practice located at 87 Watson Ave , East Orange NJ 07018-3303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fullwood, Marcia Doreen can be contacted via phone (862) 520-2371.

Contact Information

Primary practice address
87 Watson Ave East Orange NJ 07018-3303
Phone: (862) 520-2371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304754-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340688-1 New York

Profile Details

NPI number 1164601225
LBN Legal business name Fullwood, Marcia Doreen
Credentials ANP/GNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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