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Individual

MICHAEL A FUEYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1886 ROHRERSTOWN RD, LANCASTER, PA 17601-2322
(717) 735-1920
(717) 735-1921
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD068475L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001780621
PA
01
11740773
CAQH ID
01
MD068475L
STATE LICENSE - MD
PA
Enumeration date
07/11/2006
Last updated
04/07/2025
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