Individual
CASEY J FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(603) 520-3403
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1961
(603) 520-3403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
6817
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2018
Last updated
10/18/2024
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