MEDICARE: JUNE E FUSNER M.D.

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
1	208000000X	Pediatrics Physician	D19037	MD

General Provider Information

NPI Number	:	1659374015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE E FUSNER M.D.

Provider Business Mailing Address
First Line	:	3605 SAUL RD
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3437
Country	:	US
Telephone Number	:	301-949-9894
Fax Number	:	301-949-4356

Provider Business Practice Location Address
First Line	:	10400 CONNECTICUT AVE
Second Line	:	STE 215
City	:	KENSINGTON
State	:	MD
Zip	:	20895-3941
Country	:	US
Telephone Number	:	301-949-8860
Fax Number	:	301-949-4356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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Directions to “ JUNE E FUSNER M.D.” Practice Location

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