Individual
FAWZU FUSAINI MOHAMMADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DARLING DR STE 201, AVON, CT 06001-4277
(860) 348-4520
(860) 261-6725
Mailing address
1 DARLING DR, AVON, CT 06001-4277
(860) 348-4520
(860) 261-6725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044876
CT
208M00000X
Hospitalist Physician
44876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
05
—
008023102
—
CT
Enumeration date
05/15/2007
Last updated
11/02/2025
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