Individual
DR. DAVID J FUGAZZOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 GENE REED RD, BIRMINGHAM, AL 35235-2405
(205) 836-8691
(205) 836-8170
Mailing address
1112 GENE REED RD, BIRMINGHAM, AL 35235-2405
(205) 836-8691
(205) 836-8170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5925
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025902
—
AL
01
—
1211056
CIGNA
AL
01
—
51025902
BC/BS
AL
01
—
51506457
BC/BS
AL
01
—
612099
UNITED HEALTH CARE
AL
Enumeration date
07/12/2006
Last updated
07/08/2007
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