Provider Demographics
NPI:1700088549
Name:FUCCI, ERIN LANG
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LANG
Last Name:FUCCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E VINEYARD CT
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-4277
Mailing Address - Country:US
Mailing Address - Phone:609-898-2293
Mailing Address - Fax:
Practice Address - Street 1:3860 BAYSHORE RD
Practice Address - Street 2:BACHARACH REHABILITATION
Practice Address - City:NORTH CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-3260
Practice Address - Country:US
Practice Address - Phone:609-770-7804
Practice Address - Fax:609-770-7853
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00623600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist