Individual
DR. ROBERT D FUSUNYAN
Active
Individual
DR. ROBERT D FUSUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
78425
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
78425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159337
—
MA
01
—
750032
TUFTS HEALTH PLAN
MA
01
—
J17154
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
09/03/2009
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