Individual
JOSEPH MICHAEL CUSIMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3365 OAK WEST DR, ELLICOTT CITY, MD 21043-4347
(480) 266-9975
Mailing address
3365 OAK WEST DR, ELLICOTT CITY, MD 21043-4347
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0202218900
VA
1835P1300X
Psychiatric Pharmacist
5302046781
MI
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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