Individual
AMANDA FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 GERMANTOWN RD, DANBURY, CT 06810-5036
(203) 794-0090
Mailing address
25 GERMANTOWN RD, DANBURY, CT 06810-5036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
62513
CT
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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