Individual
MR. ROBERT FUSCO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 OLD TOLL RD, MADISON, CT 06443-1822
(207) 421-3577
Mailing address
514 OLD TOLL RD, MADISON, CT 06443-1822
(207) 421-3577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCY.2067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY.2067
PHARMACY LICENSE
CT
Enumeration date
08/12/2006
Last updated
07/08/2007
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