Individual
DR. ANTHONY LEE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
354 AIRPORT RD, STONINGTON, ME 04681-3217
(207) 367-2311
Mailing address
354 AIRPORT RD, STONINGTON, ME 04681-3217
(207) 367-2311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2709
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396157376
—
ME
Enumeration date
05/27/2014
Last updated
12/21/2020
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