Dr. Michael Ernest Fusaro
Primary Podiatric Medicine
32 Hine St Suite 212
Paterson
, New Jersey 07503-2955
Dr. Michael Ernest Fusaro
Primary Podiatric Medicine
32 Hine St Suite 212
Paterson
, New Jersey 07503-2955
(973) 857-9656
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Ernest Fusaro
- 10 Woodland Ave
- Verona, NJ
- Zip : 07044-2813
- Phone : (973) 857-9656
Second Address
- Dr. Michael Ernest Fusaro
- 32 Hine St Suite 212
- Paterson, NJ
- Zip : 07503-2955
- Fax : (973) 742-9017
- Phone : (973) 742-9111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | MD02486 | NJ |
National Provider Identifier
| NPI | 1154407500 |
|---|---|
| Provider Name | Dr. Michael Ernest Fusaro |
| First Address | Verona, NJ 07044-2813 |
| Second Address | Paterson, NJ 07503-2955 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1110186 | (05) | NJ |
| 1K6547 | HELATHNET (01) | NJ |
| 7773102 | (05) | NJ |
| P1988634 | OXFORD PIN (01) | NJ |
| U72992 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.