Individual
DR. MARK JAMES FUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3715
(856) 566-3190
(856) 783-2193
Mailing address
709 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MB08120000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163520
—
NJ
01
—
P00728548
RAILROAD MEDICARE
NJ
Enumeration date
06/29/2007
Last updated
02/27/2017
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