Defusco, Dianne Jean

Defusco, Dianne Jean is an individual health care provider with primary practice located at 2 Broadway , North Haven CT 06473-2349. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Defusco, Dianne Jean can be contacted via phone (203) 234-6500.

Contact Information

Primary practice address
2 Broadway North Haven CT 06473-2349
Phone: (203) 234-6500
Fax: (203) 234-6503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041834 Connecticut

Profile Details

NPI number 1063584787
LBN Legal business name Defusco, Dianne Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Sep 14th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063584787 NPPES
Connecticut Other 041834 LICENSE

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