Individual
ANDREW J DECUSATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
85 SEYMOUR ST, HARTFORD, CT 06106-5501
(860) 278-0070
(860) 522-6081
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
00000
CT
363AS0400X
Surgical Physician Assistant
Primary
3893
CT
Other
Enumeration date
06/26/2017
Last updated
02/16/2023
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