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Kenneth T Defusco, MD

Internal Medicine, Pulmonary Disease in Livingston, NJ. Individual provider (NPI-1).

NPI number1790779148
StatusActive
Last updated in NPPESOct 4, 2010

Details

NPI
1790779148
Entity type
Individual (NPI-1)
Name
Kenneth T Defusco
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2005
Last updated
Oct 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary DiseaseMA23958NJYes

Practice location

2 W Northfield Rd
Livingston, NJ 07039-3789

Phone 973-994-1544 · Fax 973-994-2387

Mailing address

2 W Northfield Rd
Livingston, NJ 07039-3789

Phone 973-994-1544 · Fax 973-994-2387

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