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Individual
DOUGLAS FAUSER
Active
Individual
DOUGLAS FAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
159805
NY
174400000X
Specialist
29699
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200045547
RAILROAD MEDICARE
NY
01
—
4682510001
MEDICARE
NY
01
—
P00017644
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
12/12/2018
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