Fusco, Cynthia R

Fusco, Cynthia R is an individual health care provider with primary practice located at 3998 Red Lion Rd Trauma Department, Philadelphia PA 19114-1445. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Fusco, Cynthia R can be contacted via phone (215) 612-4064.

Contact Information

Primary practice address
3998 Red Lion Rd Trauma Department Philadelphia PA 19114-1445
Fax: (215) 612-5438
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB080108 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS008129L Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS008129L Pennsylvania

Profile Details

NPI number 1528157898
LBN Legal business name Fusco, Cynthia R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 12th, 2015 - about 10 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 1528157898 NPPES
Pennsylvania Other 2969360 AET NA HMO
Pennsylvania MEDICAID 0016376610013 AET NA HMO
Pennsylvania Other 5508477 AET NA HMO

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