Provider Demographics
NPI:1972699072
Name:FUSCO, ANNE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:FUSCO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3785
Mailing Address - Country:US
Mailing Address - Phone:978-534-6246
Mailing Address - Fax:
Practice Address - Street 1:6 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3785
Practice Address - Country:US
Practice Address - Phone:978-534-6246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35911OtherBLUECROSS/BLUESHIELD
MA0781814OtherAETNA
MA35248OtherHARVARD PILGRIM
MA719731OtherTUFTS HEALTH PLANS
MA646590OtherUNITED HEALTH CARE
MA7390460OtherCIGNA
MA35248OtherHARVARD PILGRIM
MA0781814OtherAETNA