Individual
ALEXANDO ORLANDO FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
388 SOMERSWORTH RD, NORTH BERWICK, ME 03906-6559
(978) 854-2920
Mailing address
80 COTTAGE ST APT 2, WESTBROOK, ME 04092-4369
(978) 854-2920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT565
ME
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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