Individual
DR. JAMES A FUGAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
5400 MACKINAW RD, SAGINAW, MI 48604-9515
(989) 583-5250
(989) 583-5259
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-5250
(989) 583-5259
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35-086184
OH
2085R0001X
Radiation Oncology Physician
Primary
JF076329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N24000016
MI MEDICARE
MI
05
—
2574003
—
OH
01
—
4758357
MI MEDICAID-OH LOCATIONS
MI
05
—
4758357
—
MI
01
—
P00246120
RR MEDICARE
OH
01
—
P00431152
RR MEDICARE
MI
Enumeration date
08/24/2005
Last updated
01/05/2017
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