Individual
MATTHEW ROBERT FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2380
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
254576
MA
207T00000X
Neurological Surgery Physician
Primary
MD52181
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52181
TENNESSEE STATE MEDICAL LICENSE
TN
Enumeration date
06/06/2007
Last updated
03/29/2022
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