Individual
ANTHONY MICHAEL CUSIMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 BROADVIEW AVE APT 1, UNCASVILLE, CT 06382-1383
(860) 961-0761
Mailing address
74 BROADVIEW AVE APT 1, UNCASVILLE, CT 06382-1383
(860) 961-0761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2255A2300X
CT
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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