Fumo, Gerard

Fumo, Gerard is an individual health care provider with primary practice located at 455 Lewis Ave Suite 102, Meriden CT 06451-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Fumo, Gerard can be contacted via phone (203) 238-7747.

Contact Information

Primary practice address
455 Lewis Ave Suite 102 Meriden CT 06451-2121
Fax: (203) 686-6282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 041938 Connecticut

Profile Details

NPI number 1770524753
LBN Legal business name Fumo, Gerard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 28th, 2011 - about 13 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 1770524753 NPPES
Connecticut MEDICAID 001419383

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