JONATHAN R FUGO

Dr JONATHAN R FUGO is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 2002 from Arizona College Of Osteopathic Medicine Mid Western University.

Contact

92 OLD ROUTE 9W 100
NEW WINDSOR
NY
125535485

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JONATHAN R FUGO Information

Npi 1407056534
Pac Id 4284806654
Professional Enrollment Id I20111006000439
Last Name FUGO
First Name JONATHAN
Middle Name R
Suffix
Gender M
Credential
Medical School Name ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year 2002
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 92 OLD ROUTE 9W 100
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW WINDSOR
State NY
Zip Code 125535485
Phone Number
Hospital Affiliation Ccn 1 330264
Hospital Affiliation Lbn 1 ST LUKE'S CORNWALL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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