Individual
MICHAEL FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 MAIN ST, HYANNIS, MA 02601-3146
(508) 771-7517
Mailing address
PO BOX 1738, ORLEANS, MA 02653-1738
(860) 992-4766
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
E55494
CT
163WG0000X
General Practice Registered Nurse
Primary
RN2302096
MA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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