Individual
DR. GIANCARLO FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
193 OAK ST, SUITE 1, NEWTON, MA 02464-1457
(617) 685-5600
Mailing address
104 MARBLE ST, STONEHAM, MA 02180-2736
(617) 549-7263
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
9963
MA
Other
Enumeration date
09/11/2009
Last updated
08/21/2014
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