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Individual

CHARLOTTE L CUSANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
46 PRINCE ST STE 207, NEW HAVEN, CT 06519-1600
(203) 787-2264
Mailing address
15 MIKEYS WAY, NORTH HAVEN, CT 06473-3594

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
7281
CT
367A00000X
Advanced Practice Midwife
Primary
424
CT

Other

Enumeration date
10/13/2017
Last updated
11/13/2017
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