Individual
DANIELLE CUSATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(978) 844-2694
Mailing address
1102 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1681
(978) 844-2694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
08/23/2024
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