Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 028104 | CT |
N | 208600000X | Surgeon | 028104 | CT |
N | 2082S0105X | Plastic Hand Surgeon | 028104 | CT |
N | 2086S0105X | Surgery of the Hand | 028104 | CT |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 028104 | CT |
NPI | 1336185883 |
---|---|
Provider Name | Stefano Fusi |
First Address | Guilford, CT 06437-2076 |
Second Address | Guilford, CT 06437-2076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 02/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E60001 | (02) |