Search › Maine › 1041C0700X
Susan Fasulo
NPI 1962819201 · on the registry since 2014 · sole proprietor
Practice
- Address
- 250 Arsenal St
State House Station 11
Augusta, ME 04330 - Phone
- (207) 215-9079
- Organisation at this address
- State Of Maine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine