Individual
KAWAL HANJAN-FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 DUNHAM PL, HARTFORD HOSPITAL EMERGENCY ROOM, SOUTHINGTON, CT 06489-1201
(860) 670-3546
Mailing address
110 DUNHAM PL, SOUTHINGTON, CT 06489-1201
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002663
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003026630
—
CT
Enumeration date
10/13/2011
Last updated
04/03/2017
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