National Provider Identifier Database

ROBERT D FUSUNYAN, MD – NPI #1104817717
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

ROBERT D FUSUNYAN, MD
40 2ND AVENUE
SUITE 340
WALTHAM, MA02451-1132
Phone: 781-466-8967
Fax: 781-466-8987
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ROBERT D FUSUNYAN

NPI Number 1104817717
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 09/03/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: 78425
  • MA Medicaid: 3159337
  • MA Other: J17154 BCBS MA
  • MA Other: 750032 TUFTS HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROBERT D FUSUNYAN, MD

There are currently no reviews for ROBERT D FUSUNYAN, MD


NPIdb - Home
v2.201