Healthcare Provider Details

I. General information

NPI: 1750889747
Provider Name (Legal Business Name): FUSION HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 PLEASANT ST STE 1
CONCORD NH
03301-2553
US

IV. Provider business mailing address

280 PLEASANT ST STE 1
CONCORD NH
03301-2553
US

V. Phone/Fax

Practice location:
  • Phone: 603-622-8665
  • Fax: 833-413-4978
Mailing address:
  • Phone: 603-622-8665
  • Fax: 833-413-4978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: POWEN HSU
Title or Position: OWNER
Credential: MD
Phone: 603-622-8665