Individual
KENNETH T DEFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 W NORTHFIELD RD, LIVINGSTON, NJ 07039-3789
(973) 994-1544
(973) 994-2387
Mailing address
2 W NORTHFIELD RD, LIVINGSTON, NJ 07039-3789
(973) 994-1544
(973) 994-2387
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA23958
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508407
—
NJ
Enumeration date
08/31/2005
Last updated
10/04/2010
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