DR. ROBERT D FUSUNYAN MD NPI 1104817717

NPI Information

NPI: 1104817717
Provider Name: DR. ROBERT D FUSUNYAN, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Address:
40 2ND AVENUE
SUITE 340
WALTHAM, MA
ZIP 02451
Phone: (781) 466-8967
Get Directions

DR. Robert D Fusunyan, MD is a pediatric gastroenterology pediatrics in Waltham, MA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Robert D Fusunyan, MD NPI is 1104817717. 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:

40 2ND AVENUE
SUITE 340
WALTHAM, MA
ZIP 02451-132
Phone: (781) 466-8967
Fax: (781) 466-8987

The enumeration date for this NPI number is 11/2/2005 and was last updated on 9/3/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		78425	MASSACHUSETTS	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	78425	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J17154	OTHER	MASSACHUSETTS	BCBS MA
2	750032	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	G35530	MEDICARE UPIN
4	3159337	MEDICAID	MASSACHUSETTS
5	A30775	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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