Individual
DR. STEVEN JOSEPH FUSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF GASTROENTEROLOGY, PHILADELPHIA, PA 19104
(267) 441-9540
Mailing address
1600 ARCH ST, APT 807, PHILADELPHIA, PA 19103-2028
(267) 441-9540
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT207879
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2012
Last updated
12/05/2016
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