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Organization

FUSE MEDICAL PC

Active
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Organization

FUSE MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ILYA PARIZH DO (COO)
(646) 898-6734
Entity
Organization

Contact information

Practice address
154 STATE ROUTE 10, EAST HANOVER, NJ 07936-2107
(973) 920-3090
(973) 920-3091
Mailing address
25 SAVIN CT, STATEN ISLAND, NY 10304-4215
(646) 898-6734

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/03/2023
Last updated
08/03/2023
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