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Individual
MICHAEL FUSCO
Active
Individual
MICHAEL FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
E55494
CT
163WG0000X
General Practice Registered Nurse
Primary
RN2302096
MA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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