Individual
TOM FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
197 RIVERVIEW ST, FRANKLIN, NC 28734-2611
(828) 349-3636
Mailing address
PO BOX 96944, CHARLOTTE, NC 28296-6944
(984) 960-3617
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430077842
RAILROAD MEDICARE
FL
01
—
G2141
BLUE SHIELD OF FL
FL
Enumeration date
09/06/2006
Last updated
09/03/2025
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