Individual
DR. MICHAEL ANTHONY BRUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3120 FAIRVIEW PARK DR STE 100, FALLS CHURCH, VA 22042-4570
(571) 755-2020
(276) 209-5733
Mailing address
3120 FAIRVIEW PARK DR STE 100, FALLS CHURCH, VA 22042-4570
(571) 755-2020
(276) 209-5733
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101258561
VA
207W00000X
Ophthalmology Physician
Primary
4301099565
MI
Other
Enumeration date
07/11/2008
Last updated
01/12/2026
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