Provider Demographics
NPI:1891584769
Name:FUSARO, ANTHONY JAMES (NREMT-B)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JAMES
Last Name:FUSARO
Suffix:
Gender:
Credentials:NREMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 OAK GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-7432
Mailing Address - Country:US
Mailing Address - Phone:774-271-0731
Mailing Address - Fax:
Practice Address - Street 1:41 OAK GROVE AVE
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-7432
Practice Address - Country:US
Practice Address - Phone:774-271-0731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAE0917213146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic