Individual
KATELYN ROSE CUSMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LONG WHARF DR STE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
Mailing address
1 LONG WHARF DR STE 105, NEW HAVEN, CT 06511-5991
(203) 865-3737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
68062
CT
Other
Enumeration date
05/09/2018
Last updated
06/23/2021
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