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Maritess Fusco, APN

Nurse Practitioner in Hackensack, NJ. Individual provider (NPI-1).

NPI number1104698653
StatusActive
Last updated in NPPESOct 27, 2023

Details

NPI
1104698653
Entity type
Individual (NPI-1)
Name
Maritess Fusco
Credential
APN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 27, 2023
Certification date
Oct 27, 2023
Last updated
Oct 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner26NJ14945500NJYes

Practice location

92 2nd St
Hackensack, NJ 07601-2191

Phone 551-996-5863

Mailing address

92 2nd St
Hackensack, NJ 07601-2191

Phone 551-996-5863

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