Fusaro, Michael Ernest

Fusaro, Michael Ernest is an sole proprietor health care provider with primary practice located at 32 Hine St Suite 212, Paterson NJ 07503-2955. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Fusaro, Michael Ernest can be contacted via phone (973) 742-9111.

Contact Information

Primary practice address
32 Hine St Suite 212 Paterson NJ 07503-2955
Phone: (973) 742-9111
Fax: (973) 742-9017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X MD02486 New Jersey

Profile Details

NPI number 1154407500
LBN Legal business name Fusaro, Michael Ernest
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2006
Last updated Jul 9th, 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 1154407500 NPPES
New Jersey Other P1988634 OXFORD PIN
New Jersey MEDICAID 1110186 OXFORD PIN
New Jersey MEDICAID 7773102 OXFORD PIN
New Jersey Other 1K6547 OXFORD PIN

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