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NPI Code Detail

MEDICARE: EUGENE JOSEPH PUSATERI D.P.M.

MEDICARE: EUGENE JOSEPH PUSATERI D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist36-00-1684-POH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649270091
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE JOSEPH PUSATERI D.P.M.
Provider Business Mailing Address
First Line : 33 REDFERN DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1651
Country : US
Telephone Number : 330-759-8215
Fax Number :
Provider Business Practice Location Address
First Line : 80 E MIDLOTHIAN BLVD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44507-2019
Country : US
Telephone Number : 330-782-6113
Fax Number : 330-782-9676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 03/22/2016

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