Cusano, Anthony J
Cusano, Anthony J is an individual health care provider with primary practice located at 140 Grandview Avenue Suite L02, Waterbury CT 06708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cusano, Anthony J can be contacted via phone (203) 757-5798.Contact Information
Primary practice address
140 Grandview Avenue Suite L02
Waterbury CT 06708
Phone: (203) 757-5798
Fax: (203) 757-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 030022 | Connecticut |
Profile Details
| NPI number | 1205944089 |
|---|---|
| LBN Legal business name | Cusano, Anthony J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 19th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205944089 | NPPES |
| Connecticut | MEDICAID | 001300227 |
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