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1215200159
BRYCE KEN FUKUNAGA
BRONX, NY
NPI
1215200159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 274130)
Enumeration Date
2012-02-22
Last Update Date
2021-11-01
Business Address
BRYCE KEN FUKUNAGA M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 646-245-7839
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Mailing Address
BRYCE KEN FUKUNAGA M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 646-245-7839
Copy
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