Individual
BENJAMIN FUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
356 ROUTE 46 E, MOUNTAIN LAKES, NJ 07046-1717
(973) 586-3400
(973) 586-1916
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07465800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8956804
—
NJ
Enumeration date
07/05/2005
Last updated
02/03/2016
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