Dr. Robert D Fusunyan, MD
Pediatrics, Pediatric Gastroenterology in Waltham, Massachusetts
1104817717- Practice location
- 40 2ND Avenue, Suite 340, Waltham, MA 02451-1132
- Phone
- 781-466-8967
- Fax
- 781-466-8987
- Last updated
- September 3, 2009
Robert D Fusunyan is a Pediatrics, Pediatric Gastroenterology based in Waltham, MA. Robert D Fusunyan practices in Waltham, MA and has the professional credentials of MD. The NPI Number for Robert D Fusunyan is 1104817717 and holds a License No. 78425 (MA). The current practice location address for Robert D Fusunyan is 40 2ND Avenue, Suite 340, Waltham, MA 02451-1132 and can be reached out via phone at 781-466-8967 and via fax at 781-466-8987.
Provider Profile Details
- NPI Number
- 1104817717
- Provider Name
- Robert D Fusunyan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 2ND Avenue, Suite 340, Waltham, MA 02451-1132
- Phone Number
- 781-466-8967
- Fax Number
- 781-466-8987
- Primary Taxonomy
- Pediatrics, Pediatric Gastroenterology · 2080P0206X
- Sole Proprietor
- Yes
- Other Names
- Dr. Robert D Fu, MD (Former Name)
- Provider Enumeration Date
- November 2, 2005
- Last Update Date
- September 3, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 2ND Avenue
Suite 340
Waltham, MA 02451-1132 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1132
- Phone Number
- 781-466-8967
- Fax Number
- 781-466-8987
Provider Business Mailing Address Details
- Address
- 44 North Street
Lexington, MA 02420 - City
- Lexington
- State
- MA
- Zip
- 02420
- Phone Number
- 781-862-1652
- Fax Number
- 781-862-1652
License Information
- License Number (1)
- 78425
- License State (1)
- MA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 78425
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics, Pediatric Gastroenterology · 2080P0206X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Robert D Fusunyan, MD?
The NPI number of Dr. Robert D Fusunyan, MD is 1104817717. It was assigned on November 2, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Robert D Fusunyan, MD?
Dr. Robert D Fusunyan, MD is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in MA under license number 78425.
Where does Dr. Robert D Fusunyan, MD practice?
The practice location is 40 2ND Avenue, Suite 340, Waltham, MA 02451-1132. The office can be reached at 781-466-8967 (phone) or 781-466-8987 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104817717 directly on the NPPES registry website.