Individual
DR. MICHAEL ERNEST FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
32 HINE ST, SUITE 212, PATERSON, NJ 07503-2955
(973) 742-9111
(973) 742-9017
Mailing address
10 WOODLAND AVE, VERONA, NJ 07044-2813
(973) 857-9656
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MD02486
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110186
—
NJ
01
—
1K6547
HELATHNET
NJ
05
—
7773102
—
NJ
01
—
P1988634
OXFORD PIN
NJ
Enumeration date
10/28/2006
Last updated
07/09/2007
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