Organization
CARMINE J. DEFUSCO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE JOSEPH DEFUSCO M.D. (PRESIDENT)
(732) 462-0666
Entity
Organization
Contact information
Practice address
224 TAYLORS MILLS RD, 106, MANALAPAN, NJ 07726-3281
(732) 462-0666
(732) 462-0992
Mailing address
224 TAYLORS MILLS RD, 106, MANALAPAN, NJ 07726-3281
(732) 462-0666
(732) 462-0992
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA03532000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179507
—
NJ
Enumeration date
08/27/2008
Last updated
03/05/2009
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