Individual
MARK ANTHONY FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
110 KINGSLEY LN, SUITE 312, NORFOLK, VA 23505-4614
(757) 354-2885
(757) 889-5742
Mailing address
110 KINGSLEY LN, SUITE 312, NORFOLK, VA 23505-4614
(757) 354-2885
(757) 889-5742
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
0110840582
VA
363AM0700X
Medical Physician Assistant
Primary
0110840582
VA
Other
Enumeration date
05/24/2006
Last updated
10/09/2024
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