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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