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Individual
IREAL JOHNSON FUSCO
Active
Individual
IREAL JOHNSON FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
324028
LA
208000000X
Pediatrics Physician
R2369
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
324028
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
R2369
TX
Other
Enumeration date
05/06/2014
Last updated
12/17/2024
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