Doctor Name: | DR. MARK J FUOSS |
NPI Number: | 1174539241 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD042982E |
Business Practice Address: | 301 Ohio River Blvd. Ste. 301 Sewickley, PA - 151431300 |
Business Phone Number: | 4127416530 |
Business Fax Number: | 4127418929 |
Mailing Address: | 301 Ohio River Blvd., Ste. 301 SEWICKLEY |
State: | PA |
Postal Code: | 151431300 |
Phone Number: | 4127416530 |
Fax Number: | 4127418929 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | MD042982E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |