Individual
NICHOLAS DEFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270304
MA
207Q00000X
Family Medicine Physician
MD462240
PA
207Q00000X
Family Medicine Physician
MT207443
PA
Other
Enumeration date
06/13/2014
Last updated
04/24/2023
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