Individual
ANTONIO CUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4038
(860) 679-6600
(860) 679-6604
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6600
(860) 679-6604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
078813
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/26/2024
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