Individual
DR. ANGELO MANCUSO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
540 HUGHES RD, MADISON, AL 35758-8959
(256) 772-9996
(256) 772-0294
Mailing address
2828 HIGHWAY 31 S, DECATUR, AL 35603-1538
(256) 351-9077
(256) 351-0294
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
DO-196
AL
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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