ELIZABETH FUCCILLO

BURLINGTON, VT
NPI1326576349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: VT  055.0031603)
Enumeration Date2017-06-03
Last Update Date2022-11-04
Business Address
ELIZABETH FUCCILLO
789 PINE ST
BURLINGTON, VT 05401-4924
Phone number: 802-864-0693
Mailing Address
ELIZABETH FUCCILLO
656 KENT AVE
TEANECK, NJ 07666-1607
Phone number: