Organization
KENNETH T. DEFUSCO M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH T. DEFUSCO MD (OWNER)
(973) 994-1544
Entity
Organization
Contact information
Practice address
2 W NORTHFIELD ROAD, SUITE 206, LIVINGSTON, NJ 07936
(973) 994-1544
(973) 994-2387
Mailing address
2 W NORTHFIELD ROAD, SUITE 206, LIVINGSTON, NJ 07936
(973) 994-1544
(973) 994-2387
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA23958
NJ
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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