Dr. Fulesie Gray Artis
Foot Surgery
17 Ruth Ave
Clifton
, New Jersey 07014-1818
Dr. Fulesie Gray Artis
Foot Surgery
17 Ruth Ave
Clifton
, New Jersey 07014-1818
(973) 778-4943
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Fulesie Gray Artis
- 17 Ruth Ave
- Clifton, NJ
- Zip : 07014-1818
- Fax : (973) 778-4943
- Phone : (973) 778-4943
Second Address
- Dr. Fulesie Gray Artis
- 17 Ruth Ave
- Clifton, NJ
- Zip : 07014-1818
- Fax : (973) 778-4943
- Phone : (973) 778-4943
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | MD002535 | NJ |
National Provider Identifier
| NPI | 1316002322 |
|---|---|
| Provider Name | Dr. Fulesie Gray Artis |
| First Address | Clifton, NJ 07014-1818 |
| Second Address | Clifton, NJ 07014-1818 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1499599 | GHI PPO (01) | NJ |
| 3550373 | CIGNA (01) | NJ |
| 9017909 | (05) | NJ |
| V04272 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.