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Dana K. Fugelso, M.d.
Specialist in Brookline, Massachusetts
NPI 1750592762

Dana K. Fugelso, M.d. is a Specialist based in Brookline, MA. Dana K. Fugelso, M.d. practices in Brookline, MA. The NPI Number for Dana K. Fugelso, M.d. is 1750592762 and holds a License No. 74545 (Massachusetts).

The current practice location address for Dana K. Fugelso, M.d. is 1101 Beacon St, Brookline, MA and can be reached out via phone at 781-731-8334 and via fax at 781-731-8556.

Location: 1101 Beacon St, Brookline, MA, 02446-5587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750592762
Provider Name
Dana K. Fugelso, M.d.
Credential
Provider Entity Type
Organization
Address
1101 Beacon St, Brookline, MA, 02446-5587
Phone Number
781-731-8334
Fax Number
781-731-8556
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3133699 05 MA
institution
Provider Business Practice Location Address Details
Address
1101 Beacon St
City
Brookline
State
Massachusetts
Zip
02446-5587
Phone Number
781-731-8334
Fax Number
781-731-8556
person
Provider Business Mailing Address Details
Address
1101 Beacon St
City
Brookline
State
Massachusetts
Zip
02446-5587
Phone Number
781-731-8334
Fax Number
781-731-8556
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
74545 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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