Individual
TIMOTHY STEPHEN FUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Mailing address
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 275-9998
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0102204499
VA
Other
Enumeration date
12/10/2012
Last updated
06/15/2019
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