Individual
DR. GENNADIY FUZAYLOV
Active
Individual
DR. GENNADIY FUZAYLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
210490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180394
—
MA
01
—
210490
TUFTS HEALTH PLAN
MA
01
—
J25410
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
07/13/2026
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