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Individual

CHRISTOPHER FUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
812 EDEN WAY N, CHESAPEAKE, VA 23320-0602
(757) 424-4177
(757) 424-0496
Mailing address
812 EDEN WAY N, CHESAPEAKE, VA 23320-0602
(757) 424-4177
(757) 424-0496

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000205
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093345
BCBS
VA
Enumeration date
05/27/2006
Last updated
11/03/2010
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