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Individual
SOPHIA ANNE FUSARO
Active
Individual
SOPHIA ANNE FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OA007750
PA
363A00000X
Physician Assistant
Primary
OA007750
PA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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