Individual
DANIEL CUSATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9258 WARDLEY PARK LN, BRENTWOOD, TN 37027-4465
(714) 814-6611
Mailing address
9258 WARDLEY PARK LN, BRENTWOOD, TN 37027-4465
(714) 814-6611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G53334
CA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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