MARK ANTHONY FUSCO PA-C MPAS NPI 1962457010

NPI Information

Mark Anthony Fusco, PA-C, MPAS is a medical physician assistant in Norfolk, VA. Mark Anthony Fusco, PA-C, MPAS NPI is 1962457010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 KINGSLEY LN
SUITE 312
NORFOLK, VA
ZIP 23505-614
Phone: (757) 354-2885
Fax: (757) 889-5742

The NPI 1962457010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 2/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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