Provider Demographics
NPI:1558536177
Name:FULCHER, RENEE LAND (DVM)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LAND
Last Name:FULCHER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8590
Mailing Address - Country:US
Mailing Address - Phone:732-462-0572
Mailing Address - Fax:732-308-9598
Practice Address - Street 1:3700 ROUTE 9
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8590
Practice Address - Country:US
Practice Address - Phone:732-462-0572
Practice Address - Fax:732-308-9598
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00524100174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian