Individual
JOHN A FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 VAN BUREN BLVD STE 102, RIVERSIDE, CA 92503-4299
(951) 688-7700
(951) 688-7757
Mailing address
3700 VAN BUREN BLVD STE 102, RIVERSIDE, CA 92503-4299
(951) 688-7700
(951) 688-7757
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0033110
—
CA
Enumeration date
02/15/2007
Last updated
07/09/2007
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