Individual
KAREN J CUSANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
269 CHURCH ST, AMSTON, CT 06231-1403
(860) 228-9463
(860) 228-3766
Mailing address
269 CHURCH ST, AMSTON, CT 06231-1403
(860) 228-9463
(860) 228-3766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
001634
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163400
CT CARE
—
01
—
2V1323
HEALTH NET
—
01
—
400001634CT02
BCBS
—
01
—
P2985559
OXFORD
—
Enumeration date
07/01/2005
Last updated
07/08/2007
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