Organization
NEW CT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FUSCO (MD)
(203) 249-8237
Entity
Organization
Contact information
Practice address
90 MORGAN ST STE 304, STAMFORD, CT 06905-5436
(718) 964-6161
Mailing address
393 BROADWAY, BROOKLYN, NY 11211-7303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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