Individual
DR. THOMAS JOSEPH CUSUMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
26-06 BROADWAY, FAIR LAWN, NJ 07410-3829
(201) 794-8200
(201) 794-8201
Mailing address
26-06 BROADWAY, FAIR LAWN, NJ 07410-3829
(201) 794-8200
(201) 794-8201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00002492
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156949
PTAN
NJ
05
—
8924007
—
NJ
Enumeration date
03/14/2006
Last updated
01/15/2016
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