Individual
ANGELO FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 CLARA DR, MYSTIC, CT 06355-1973
(860) 245-0851
Mailing address
213 HIGH ST, WESTERLY, RI 02891-1775
(401) 430-9923
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
001036
CT
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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