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1528089414
MARK PATRICK FULLENKAMP
NEW BRUNSWICK, NJ
NPI
1528089414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA08100300)
Enumeration Date
2006-07-23
Last Update Date
2009-10-29
Business Address
-- MARK PATRICK FULLENKAMP M.D.
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901-1928
Phone number: 732-937-8841
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Mailing Address
-- MARK PATRICK FULLENKAMP M.D.
66 W GILBERT ST 2ND FLOOR
TINTON FALLS, NJ 07701-4947
Phone number: 732-212-0051
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